Antiretroviral therapy ART in nepal: HIV treatment sites in Nepal 2024

Antiretroviral therapy ART in nepal: HIV treatment sites in Nepal

Aids logo

HIV and STI Control Program Nepal

ART centres in Nepal are vital parts of HIV detection and treatment in Nepal. HIV screen testing and treatment has been the main fcus of government of Nepal since beginning. It has been strategically approaching towards its goal since the stablishment of the HTC in 1995.

First HIV treatment centre of Nepal was established in 1995 AD

Initially the HIV diagnosis was dependent on volutary screening only.
AFter that National guidelines were slowly developed. 

National HIV guideline was formulated in 2003 and was  finalized in 2007

The further revisions of National HIV treatment guidelines were 2009 and 2011.

Latest comprehensive HIV guideline was  released in 2014. 

National HIV strategic plan was in 2016-1021 AD. 

The global HIV goal 90-90-90 meaning:

By 2020, 90% of all people living with HIV will know their HIV status by 2020, 90% of all people with diagnosed HIV infection will receive sustained antiretroviral therapy andby 2020, 90% of all people receiving antiretroviral therapy will have viral suppression.

In Nepal HIV testing is available upto health post level and treatment is available through NGO run treatment centres. 

ART Sites in Nepal

 

S.N.

Development

Region

 

District

 

Name of ART Sites

 

Location

Established

Year

1

Eastern

Dhankuta

District Hospital

Dhankuta

2015

2

Eastern

Ilam

Ilam District Hospital

Ilam

2015

3

Eastern

Jhapa

Mechi Zonal Hospital

Jhapa

2007

4

Eastern

Mahottari

Jaleshwor district hospital

Jaleshwor

2015

5

Eastern

Morang

Koshi Zonal Hospital,

Biratnagar

2007

6

Eastern

Okhaldhunga

District Hospital

Okhaldhunga

2015

7

Eastern

Sankhubasava

District Hospital

Khandwari

2015

8

Eastern

Saptari

Sagarmatha Zonal Hospital

Rajbiraj

2008

9

Eastern

Siraha

Ram Kumar Uma Shankar Charity Hospital

Lahan

2014

10

Eastern

Sunsari

BPKIHS

Dharan

2006

11

Eastern

Udaypur

District Hospital

Gaighat

2015

12

Central

Bara

District Hospital

Kalaiya

2014

13

Central

Bhaktapur

Bhaktapur Hospital

Bhaktapur

2013

14

Central

Chitwan

Bharatpur Hospital

Bharatpur

2007

15

Central

Dhading

District Hospital

Dhadingbesi

2014

16

Central

Dhanusha

Janakpur Zonal Hospital

Janakpur

2008

17

Central

Kathamndu

Sukraraj Tropical & Infectious Disease Control Hospital

Teku

2004

18

Central

Kathmandu

Kanti Children Hospital

Maharajgunj

2006

19

Central

Kathmandu

Maiti Nepal

Gaushala

2007

20

Central

Kathmandu

Bir Hospital

Kathmandu

2008

21

Central

Kathmandu

TUTH

Maharajgunj

2011

22

Central

Kavre

Dhulikhel Hospital

Dhulikhel

2010

23

Central

Lalitpur

Sparsha Nepal

Sanepa

2005

24

Central

Makwanpur

Makwanpur District Hospital

Hetauda

2012

25

Central

Nuwakot

Trishuli Hospital

Trishuli

2012

26

Central

Parsa

Narayani Sub-Regional Hospital

Birgunj

2006

27

Central

Rautahat

District Hospital

Gaur

2014

28

Central

Sarlahi

District Hospital

Malangwa

2015

29

Central

Sindhuli

District Hospital

Sindhulimadi

2015

30

Central

Sindhupalchowk

District Hospital

Chautara

2014

31

Western

Arghakhachi

District Hospital

Sandhikharka

2014

32

Western

Baglung

Dhaulagiri Zonal Hospital

Baglung

2007

33

Western

Gorkha

District Hospital

Gorkha

2010

34

Western

Gulmi

District Hospital

Tamghas

2010

35

Western

Kapilvastu

District Hospital

Taulihawa

2010

36

Western

Kaski

Western Regional Hospital

Pokhara

2006

37

Western

Lamjung

Lamjung Community Hospital

Beshisahar

2010

38

Western

Myagdi

District Hospital

Beni

2014

39

Western

Nawalparasi

District Hospital

Parasi

2014

40

Western

Palpa

United Mission Hospital

Tansen

2008

41

Western

Rupandehi

Lumbini Zonal hospital,

Butwal

2007

42

Western

Syangja

District Hospital

Putlibazar

2010

43

Western

Parbat

District Hospital

Kusma

2016

44

Western

Tanahun

Tanahun District Hospital

Damauli

2010

45

Mid West

Banke

Bheri Zonal Hospital

Nepalgunj

2004

46

Mid West

Bardiya

District Hospital

Gulariya

2010

47

Mid West

Dailekh

District Hospital

Dailekh

2010

48

Mid West

Dang

Rapti Sub Regional Hospital

Ghorahi

2008

49

Mid West

Pyuthan

District Hospital

Bijuwar

2013

50

Mid West

Rolpa

District Hospital

Liwang

2013

51

Mid West

Surkhet

Mid-West Regional Hospital

Birendranagar

2008

52

Mid West

Kalikot

District Hospital

Manma

2016

53

Mid West

Rukum

District Hospital

Chaurjhari

2016

54

Mid West

Salyan

District Hospital

Khalanga

2016

55

Far Western

Achham

District Hospital

Mangalsen

2007

56

Far Western

Achham

Bayalpata Hospital

Bayalpata

2010

57

Far Western

Baitadi

District Hospital

Gothalapani

2009

58

Far Western

Bajhang

District Hospital

Chainpur

2013

59

Far Western

Bajura

District Hospital

Martadi

2013

60

Far Western

Dadeldhura

Sub-regional Hospital

Amargadhi

2012

61

Far Western

Darchula

District Hospital

Khalanga

2014

62

Far Western

Doti

District hospital

Silgadi

2007

63

Far Western

Kailali

Seti Zonal Hospital

Dhangadi

2006

64

Far Western

Kailali

Tikapur Hospital

Tikapur

2009

65

Far Western

Kanchanpur

Mahakali Zonal Hospital

Mahendranagar

2006

AIDS virus drawing

Importance of HIV treatment centers in Nepal:

Nepal being poor country wth poor people suffering from HIV and AIDS they need support of Government and donorts to get proper treatment of the disease. For the same purpose multiple organisations have been working on it day and night and for the same reason the treatment centres are of great importance and will be the pillars for treatment of HIV and AIDS in Nepal for coming decades as well. 

PSC preparation with Dr Chaitanya Top Coacing Center for NHPC

PSC preparation with Dr Chaitanya : Free License preparation Questions for practice

Table of Contents(toc)
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NMC result published for mbbs and bds license

 NMC has published result of MBBS and BDS license examination held on 31st may

How to check NMC license result

To check result go to website nmc.org.np

What do i need to check my NMC result

You need your symbol number and your date of birth. 
Tha k you for checking nmc result with us. 
For other results please visit our site and check result section 

CTEVT has published CTEVT result of PCL 2080

 COUNCIL FOR TECHNICAL EDUCATION AND VOCATIONAL TRAINING

OFFICE OF THE CONTROLLER OF EXAMINATIONS

SANOTHIMI, BHAKTAPUR

Result Summary

Exam held on: Falgun 2079 (2023 February/March)

Result Publicaton Date: 2080/2/18

CTEVT logo

CTEVT has published the result of PCL level exam held on falgun 2019.

How to check the result of CTEVT exam 

  1. Please check below for the complete result.
  2. The result is in PDF format and can be downloaded.
  3. After downloading the result open the file with Any pdf reader and press ctrl+F together. Type your name or symbol number and press enter. you can see the result there.

www.ctevt.org.np result 2079 with marksheet

check marksheet at the website CTEVT

www.ctevt exam.org.np 2079

You can also follow at the website www.ctevtexam.org.np

CTEVT result Pdf

check the latest CTEVT result

you can check latest CTEVT result here

When was the CTEVT exam held

CTEVT exam was held in 2079 falgun

Check HA result

You have latest HA result here

Check CTEVT resuslt 2080

In this pdf we have latest CTEVT result

Official CTEVT result

www.ctevt.org.np notice 2079

follow the website  above

www.ctevt.org.np result 2079 with marksheet

In the official website you can see the marksheet
Thank you for reading us. If you like us please share us as well, Thank you!
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We need food not tobacco

“WE NEED FOOD, NOT TOBACCO”

Background on international day against tobacco use

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Today, May 31 is observed as international day against tobacco use. This year, World Health Organization is targeting the root cause of the Tobacco Industry, that is Tobacco Farming. WHO considers that tobaccoo farming is the cause of tobaccoo use. Lets analyze how right or wrong this concept is. 

Cigarettes

Why are people attracted to tobacco farming

The people in the poverty line and the rich farmers both are currently farming tobacco plants to generate money. Tobacco has become one of the top cash crop for many people. 

Is tobacco farming beneficial 

I think very few people know the fact that farmers indulge into the tobacco industry because they are made fools by miseducating them about the crop. They’re told about its benefits but at the same time they’re not told about its bad aspects. 

Why’re people attracted to tobacco farming 

They lure the farmers into cultivating this crop by showing them the *MONEY* factor saying its the income source and gives huge value. 

Poverty and tobacco

The poor people who have no money at all and are needy do whatever is in their hands to earn a good living sum for their families, and hence they devote their lives into this hazardous practice of modern days.

Comparison of tobacco vs other crops

Bow lets compare pros and cons and also discuss how alternate options can be equally good or even better. 

I’ll not reiterate anything about tobacco or how it is harmful to our bodies, but I’ll show basic points how alternate farming is any day better than Tobacco farming.

Tobacco plant

𝐅𝐄𝐖 𝐂𝐎𝐍𝐒 𝐎𝐅 𝐓𝐎𝐁𝐀𝐂𝐂𝐎 𝐅𝐀𝐑𝐌𝐈𝐍𝐆:

Many misconceptions and hoax are in the community that helps tobacco use common
  • ⇒ Pesticide poisoning is common among workers and those living near tobacco-growing fields.
  • ⇒ Neurological and psychological conditions because of poor protection practices.
  • ⇒ Deforestation
  • ⇒ Crops cannot withstand climate changes and pests.
  • ⇒ Soil degradation
  • ⇒ Destruction of groundwater resources
  • ⇒ Sedimentation of rivers, reservoirs and irrigation systems
  • climate change
  • ⇒ Species extinction due to habitat fragmentation and over exploitation of land

𝐅𝐄𝐖 𝐏𝐑𝐎𝐒 𝐎𝐅 𝐑𝐄𝐃 𝐆𝐑𝐀𝐌/ 𝐈𝐑𝐎𝐍 𝐁𝐄𝐀𝐍 𝐅𝐀𝐑𝐌𝐈𝐍𝐆:

  • ⇒ It can fix atmospheric nitrogen
  • ⇒ Restores the lost nitrogen in the soil
  • ⇒ Prevents soil from erosion
  • ⇒ We can do red gram farming on any type of soil, even on mountain slopes
  • ⇒ Can easily grow it in stress conditions
  • ⇒ Can be harvested within 3 months
  • ⇒ Does not require immense chemicals or pesticides

Finally words on we need food not tobacco:

Other crops farming gives better opportunity than tobacco farming is better than tobacco farming

All our farmers are in dire need of good education/ awareness about alternative farming, for them and for the environment.

This also comes with a well known fact that everyone should quit tobacco

There’s no option to quitting tobacco and atop smoking. 
Smoking nkt only harms the  smoker but also the people around them. 

NO consumers = NO farming 

If you like what I have written please like share and visit my social vhannels to be ome friends with me. Thank you. 

Side effects of corticosteroids mnemnics

Side effectss of cortcosteriods mnemonics

Corticosteroid side effects are common and must know because corticosteroids are one of the commonly used drugs, that are used from short term to long term. These include:

Mnemonic: CRAZY STEROIDS

C- Cushy weight gain

R- Rebound acne

A- Angry mood swings

Z- Zebra stripes / stretch marks

Y- Yawning insomnia

S- Spaghetti bones/ weak bones/ fractures

T- Thunder thighs/thicker thighs

E- Eye troubles/ blurred vision/ cataract

R- Rapid heartbeat/ tachycardia

O- Ouchy infections

I- Inflated / moon face

D- Diabeted risk

S- Stunted growth/shoet stature

Side effectss of cortcosteriods mnemonics

Corticosteroid side effects are common and must know because corticosteroids are one of the commonly used drugs, that are used from short term to long term. These include:

C- Cushy weight gain

R- Rebound acne

A- Angry mood swings

Z- Zebra stripes / stretch marks

Y- Yawning insomnia

S- Spaghetti bones/ weak bones/ fractures

T- Thunder thighs/thicker thighs

E- Eye troubles/ blurred vision/ cataract

R- Rapid heartbeat/ tachycardia

O- Ouchy infections

I- Inflated / moon face

D- Diabeted risk

S- Stunted growth/shoet stature

Steroids examples

Prednisolone, hydrocortisoon, dexamethasone, betamethasone, methylprednisolone, cortisone, budesonide, triamcinolone etc

Prednisolone, hydrocortisoon, dexamethasone, betamethasone, methylprednisolone, cortisone, budesonide, triamcinolone etc

Corticosteroids adverse effects

People with red hair need more anesthesia: Research review

People with red hair need more anesthesia: Research review

girl with red hair

Do redheads need more anesthesia than others?

What does the biology and medical science say?
Recently I was going through an online social network and I saw a post saying redheads need more aneshthesia and here’s review on the topic based on multiple researches and publications.
Hope youll enjoy reading it. 

The Science Behind Why Redheads Need More Anesthesia

Have you ever wondered why redheads may require more anesthesia than people with other hair colors? It turns out that there is a scientific explanation for this phenomenon. Redheads have a genetic variation that affects the way their bodies process pain and anesthesia.

The mutation in melanocortin-1 receptor has been attributed to the red hair of theose people and same for the difference in the sensivity to the pain and depth of anesthesia as well. 

This variation causes their bodies to be more resistant to pain medication, requiring higher doses to achieve the same level of pain relief. In addition, redheads also have a higher likelihood of experiencing anxiety and nervousness before surgery, which can also affect their response to anesthesia. This unique attribute of redheads has been studied extensively by medical professionals, and understanding this genetic variation can help anesthesiologists provide more effective care for their redheaded patients. So, if you’re a redhead or know someone who is, read on to discover the fascinating science behind this phenomenon.

What is anesthesia and how does it work?

There are three types of anesthesia: general, regional, and local. The anesthesia described here may refer to local or regional anesthesia, sedation and general anesthesia. 

General anesthesia is a state of induced unconsciousness that is used to provide pain relief and muscle relaxation during medical procedures. General anesthesia is the most common and involves the use of drugs that put the patient to sleep and block pain signals to the brain. Regional anesthesia involves numbing a specific area of the body, while local anesthesia involves numbing a small area, such as a tooth or skin patch.

The mutation in melanocortin-1 receptor has been attributed to the red hair of theose people and same for the difference in the sensivity to the pain and depth of anesthesia as well. 

The drugs used in anesthesia work by blocking the transmission of nerve signals that communicate pain and other sensations to the brain. This allows the patient to undergo medical procedures without feeling any pain or discomfort. The mechanism of general enesthesia like propofol may not be completely understood r explained. The amount of anesthesia required depends on various factors, including the patient’s weight, age, and medical history.

The genetic mutation responsible for red hair

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Red hair is caused by a genetic mutation in the MC1R gene, which is responsible for producing the pigment that gives hair its color. This mutation causes the gene to produce a protein that is less effective at producing the pigment, resulting in red hair. The MC1R gene is also responsible for producing melanin, which is the pigment that gives skin its color. People with the red hair gene mutation have less melanin in their skin, which makes them more susceptible to sunburn and skin cancer.

The MC1R gene mutation is inherited in an autosomal recessive pattern, meaning that a person must inherit two copies of the mutated gene (one from each parent) to have red hair. However, even people with just one copy of the mutated gene may exhibit some of the traits associated with red hair, such as fair skin and freckles.

The link between red hair and anesthesia

Research has shown that people with red hair require more anesthesia than people with other hair colors. This is because the MC1R gene mutation affects the way the body responds to certain drugs, including pain medication and anesthesia. The mutation causes the body to produce less of a protein called POMC, which is involved in the production of endorphins, the body’s natural painkillers. This results in redheads being less sensitive to certain types of pain medication and requiring higher doses to achieve the same level of pain relief.

In addition to being less sensitive to pain medication, redheads also have a higher likelihood of experiencing anxiety and nervousness before surgery. This can be attributed to the fact that the same genetic mutation that causes red hair also affects the production of the stress hormone cortisol. People with the mutation produce less cortisol, which can lead to increased anxiety and stress.

Studies on redheads and anesthesia

Several studies have been conducted to investigate the link between red hair and anesthesia. One study published in the British Journal of Anaesthesia found that redheads required 20% more anesthesia than people with other hair colors. Another study published in the journal Anesthesiology found that redheads required 19% more anesthesia than people with dark hair and 16% more than people with blonde hair.

These studies also found that redheads were more likely to experience side effects from anesthesia, such as nausea and vomiting. This may be due to the fact that the drugs used in anesthesia are metabolized differently in people with the MC1R gene mutation, leading to a longer recovery time and increased risk of side effects.

Differences in anesthesia dosage for redheads

The fact that redheads require more anesthesia than people with other hair colors has important implications for healthcare providers. Anesthesiologists must take this into account when administering anesthesia to redheaded patients, as failing to do so can result in inadequate pain relief and increased risk of side effects.

To ensure that redheads receive the appropriate amount of anesthesia, anesthesiologists may need to adjust the dosage based on the patient’s hair color and genetic makeup. This can be done by conducting a genetic test to determine whether the patient has the MC1R gene mutation and adjusting the anesthesia dosage accordingly.

Other medical considerations for redheads

In addition to requiring more anesthesia, redheads may also be more susceptible to certain medical conditions. For example, research has shown that redheads have a higher risk of developing skin cancer due to their fair skin and reduced ability to produce melanin. They may also be more susceptible to certain types of pain, such as chronic pain and migraine headaches.

Redheads may also require different dosages of other types of medication, such as painkillers and antidepressants. This is because the MC1R gene mutation affects the way the body processes these drugs, just as it affects the way the body processes anesthesia.

Challenges for healthcare providers

The fact that redheads require more anesthesia and may be more susceptible to certain medical conditions can present challenges for healthcare providers. Anesthesiologists must be aware of the unique needs of redheaded patients and take steps to ensure that they receive the appropriate care.

This may involve conducting genetic testing to determine whether the patient has the MC1R gene mutation and adjusting the anesthesia dosage accordingly. It may also involve providing additional support to redheaded patients who may be more anxious or stressed before surgery.

Coping mechanisms for redheads undergoing anesthesia

If you’re a redhead who is scheduled to undergo anesthesia, there are steps you can take to help ensure a successful outcome. First, make sure to inform your healthcare provider that you have red hair and discuss any concerns you may have about anesthesia. Your provider can work with you to develop a plan that addresses your unique needs and concerns.

You may also want to consider relaxation techniques such as deep breathing, meditation, or visualization to help reduce anxiety and stress before surgery. These techniques can help you feel more relaxed and may even reduce the amount of anesthesia you require.

Conclusion and future research directions

The science behind why redheads require more anesthesia is a fascinating area of research that has important implications for healthcare providers. By understanding the link between red hair and anesthesia, anesthesiologists can provide more effective care to redheaded patients and reduce the risk of side effects.

However, there is still much to learn about the unique needs of redheaded patients. Future research in this area may focus on developing new anesthesia drugs that are more effective for redheads or identifying other medical conditions that may be more prevalent in this population.

Overall, the science behind why redheads require more anesthesia is just one example of how genetic variations can affect the way our bodies respond to medication and medical procedures. By understanding these variations, healthcare providers can provide more personalized care that takes into account each patient’s unique needs and genetic makeup.

References:

  1. Edwin B. Liem, Chun-Ming Lin, Mohammad-Irfan Suleman, Anthony G. Doufas, Ronald G. Gregg, Jacqueline M. Veauthier, Gary Loyd, Daniel I. Sessler; Anesthetic Requirement Is Increased in Redheads. Anesthesiology 2004; 101:279–283 doi: https://doi.org/10.1097/00000542-200408000-00006
  2. Chua, M.V., Tsueda, K. & Doufas, A.G. Midazolam causes less sedation in volunteers with red hair. Can J Anesth 51, 25–30 (2004). https://doi.org/10.1007/BF03018542
  3. Edwin B. Liem, Teresa V. Joiner, Kentaro Tsueda, Daniel I. Sessler; Increased Sensitivity to Thermal Pain and Reduced Subcutaneous Lidocaine Efficacy in Redheads. Anesthesiology 2005; 102:509–514 doi: https://doi.org/10.1097/00000542-200503000-00006
  4. Robinson KC, Kemény LV, Fell GL, Hermann AL, Allouche J, Ding W, Yekkirala A, Hsiao JJ, Su MY, Theodosakis N, Kozak G, Takeuchi Y, Shen S, Berenyi A, Mao J, Woolf CJ, Fisher DE. Reduced MC4R signaling alters nociceptive thresholds associated with red hair. Sci Adv. 2021 Apr 2;7(14):eabd1310. doi: 10.1126/sciadv.abd1310. PMID: 33811065.
  5. McGoldrick, Kathryn E. MD. Anesthetic Requirement Is Increased in Redheads. Survey of Anesthesiology 49(1):p 3, February 2005. | DOI: 10.1097/01.sa.0000151196.69484.b6 
  6. Xing Y, Sonner JM, Eger EI 2nd, Cascio M, Sessler DI. Mice with a melanocortin 1 receptor mutation have a slightly greater minimum alveolar concentration than control mice. Anesthesiology. 2004;101:544-546
  7. https://hdl.handle.net/2286/R.I.37906
  8. Brock Droll, Melissa Drum, John Nusstein, Al Reader, Mike Beck, Anesthetic Efficacy of the Inferior Alveolar Nerve Block in Red-haired Women, Journal of Endodontics, Volume 38, Issue 12, 2012, Pages 1564-1569, ISSN 0099-2399, https://doi.org/10.1016/j.joen.2012.08.014. (https://www.sciencedirect.com/science/article/pii/S0099239912008059)
  9. https://www.bastenpsychology.com.au/wp-content/uploads/2013/10/Dental-phobia-screening-tool.pdf
  10. Liem EB, Joiner TV, Tsueda K, Sessler DI. Increased sensitivity to thermal pain and reduced subcutaneous lidocaine efficacy in redheads. Anesthesiology. 2005 Mar;102(3):509-14. doi: 10.1097/00000542-200503000-00006. PMID: 15731586; PMCID: PMC1692342.

How to fill HA online registration form: NHPC? अनलाइन रजिस्ट्रेसन

How to fill HA online registration form NHPC

HA अनलाइन रजिस्ट्रेसन फर्म भर्ने तरिका

  1. First visit NHPC official website at nhpc.gov.np सुरुमा कुनै ब्राउजर (eg chrome, firefox) खोलेर NHPC को वेवसाइट खोल्नुहोस। 
    new regiatration button

  2. Then click on new registration button on top right दायापट्टि टुप्पोमा रहेको “new registration” बटनमा क्लिक गर्नुहोस।
    New registration window

  3. Then a new tab will open नया ट्याब खुल्नेछ। 
  4. Fill the requred information and proceed. मागेको जानकारि र कागजात अपलोड गर्नुहोस।

रजिस्ट्रेसनको लागि चाहिने कागजात

विशिष्ट तहको लागि

1. नेपाली नागरिकताको प्रमाण पत्र
2. साधारण योग्यता (टेष्ट÷एस.एल.सी.) को लब्धाङ्क पत्र र चारित्रिक प्रमाण पत्र
3. प्रमाण पत्र तह वा सो सरह शैक्षिक योग्यताको लब्धाङ्क पत्र र चारित्रिक प्रमाण पत्र
4. व्यवसायिक÷ प्राविधिक शिक्षाको स्नातक वा सो सरह (स्वास्थ्य व्यवसाय) संग सम्बन्धीत उतिर्ण गरेको लब्धाङ्क पत्र र चारित्रिक प्रमाण पत्र
5. संबन्धित विश्वविद्यालय÷परिषद÷बोर्ड बाट प्रदान गरीएको ओरिजिनल÷प्रोभिजनल प्रमाण पत्र
6. सिप अध्यापन गराउन सक्षम योग्य जनशक्ति भएको स्तरीय स्वास्थ्य संस्था बाट जारी भएको OJT / INTERNSHIP गरेको प्रमाण पत्र
7. विदेशी शिक्षण संस्थाबाट उतिर्ण गरेको भए समकक्षताको प्रमाण पत्र र पासपोर्ट चाहिने मुलुक भए पासपोर्ट र भिसाको प्रतिलिपी
8. विदेशी शिक्षण संस्थाबाट उतिर्ण गरेको भए शैक्षिक योग्यताको CURRICULUM, शिक्षण संस्थाको PROSPECTUS समेतको सक्कल तथा प्रतिलिपी परिषद कार्यालयमा बुझाउनु पर्नेछ (UPLOAD गर्नु नपर्ने) ।
9. परीक्षा दस्तुर रु. ३०००। नेपाल एस.वि.आई बैंक खाता नं. २०४३५२४०१००००८, वा राष्ट्रिय बाणिज्य बै.क खाता नं. 115000213301 वा हिमालयन बैंक खाता नं. ००२००५७४६६००१६ मा दाखिला गरेको भौचर ।
10. परीक्षामा उतिर्ण भए पश्चात नाम दर्ता दरखास्त दस्तुर रु. २०५०।– नेपाल एस.वि.आई बैंक खाता नं. २०४३५२४०१००००८, वा राष्ट्रिय बाणिज्य बै.क खाता नं. 115000213301 वा हिमालयन बैंक खाता नं. ००२००५७४६६००१६ मा दाखिला गरेको भौचर (विदेशि शिक्षण संस्थाबाट अध्ययन गरेकाहरुको हकमा दस्तुर रु. ४०५०।– वैंक दाखिला गरेकोे भौचर)
11. दफा २ अनुसारका SCAN गरी UPLOAD गरेका प्रमाण पत्र, कागजातहरुको सत्यापन पक्ष (ORIGINALITY) को जिम्मेवारी आवेदक स्वयं हुनेछ र UPLOAD गरेका सबै कागजातहरुको सक्कलै कपी प्रमाणपत्र लिन आउँदा लिएर आउनु पर्नेछ ।
12. कृपया सक्कल कागजातको स्कयान मात्र Upload गर्नु होला ।  (Please upload the scan of Original Document Only)
Nepal SBI Bank= 20435240100008
   Himalayan Bank= 00200574660016
   Rastriya Banijya Bank= 115000213301

प्रथम तहको लागि

1. नेपाली नागरिकताको प्रमाण पत्र
2. साधारण योग्यता (एस.एल.सी.) को लब्धाङ्क पत्र र चारित्रिक प्रमाण पत्र
3. प्रमाण पत्र तह वा सो सरह शैक्षिक योग्यताको लब्धाङ्क पत्र र चारित्रिक प्रमाण पत्र
4. व्यसायिक÷ प्राविधिक शिक्षाको स्नातक वा सो सरह (स्वास्थ्य व्यवसाय) संग सम्बन्धीत उतिर्ण गरेको लब्धाङ्क पत्र र चारित्रिक प्रमाण पत्र
5. संबन्धित विश्वविद्यालय÷परिषद÷बोर्ड बाट प्रदान गरीएको ओरिजिनल÷प्रोभिजनल प्रमाण पत्र
6. सिप अध्यापन गराउन सक्षम योग्य जनशक्ति भएको स्तरीय स्वास्थ्य संस्था बाट जारी भएको OJT / INTERNSHIP गरेको प्रमाण पत्र (शिक्षण अस्पतालमा अध्ययन गरेकाहरुको हकमा र जनस्वास्थ्य विषय अध्ययन गरेकाहरुको हकमा आवश्यक नपर्ने
7. विदेशी शिक्षण संस्थाबाट उतिर्ण गरेको भए समकक्षताको प्रमाण पत्र र पासपोर्ट चाहिने मुलुक भए पासपोर्ट र भिसाको प्रतिलिपी
8. विदेशी शिक्षण संस्थाबाट उतिर्ण गरेको भए शैक्षिक योग्यताको CURRICULUM, शिक्षण संस्थाको PROSPECTUS समेतको सक्कल तथा प्रतिलिपी परिषद कार्यालयमा बुझाउनु पर्नेछ (UPLOAD गर्नु नपर्ने)।
9. परीक्षा दस्तुर रु. ३०००। नेपाल एस.वि.आई बैंक खाता नं. २०४३५२४०१००००८ वा हिमालयन बैंक खाता नं. ००२००५७४६६००१६ मा दाखिला गरेको भौचर।
10. परीक्षामा उतिर्ण भए पश्चात नाम दर्ता दरखास्त दस्तुर रु. १५५०।– नेपाल एस.वि.आई बैंक खाता नं. २०४३५२४०१००००८, हिमालयन बैंक खाता नं. ००२००५७४६६००१६ वा वा राष्ट्रिय बाणिज्य बै.क खाता नं. 115000213301 मा दाखिला गरेको भौचर (विदेशि शिक्षण संस्थाबाट अध्ययन गरेकाहरुको हकमा दस्तुर रु. ३०५०।– वैंक दाखिला गरेकोे भौचर)
11. दफा २ अनुसारका SCAN गरी UPLOAD गरेका प्रमाण पत्र, कागजातहरुको सत्यापन पक्ष (ORIGINALITY) को जिम्मेवारी आवेदक स्वयं हुनेछ र UPLOAD गरेका सबै कागजातहरुको सक्कलै कपी प्रमाणपत्र लिन आउँदा लिएर आउनु पर्नेछ ।
12. कृपया सक्कल कागजातको स्कयान मात्र Upload गर्नु होला ।  (Please upload the scan of Original Document Only)
13. Nepal SBI Bank= 20435240100008
          Himalayan Bank= 00200574660016
          Rastriya Banijya Bank= 115000213301

द्वितिय तहको लागि

1. नेपाली नागरिकताको प्रमाण पत्र
2. साधारण योग्यता (एस.एल.सी.) को लब्धाङ्क पत्र र चारित्रिक प्रमाण पत्र
3. व्यवसायिक शिक्षा (स्वास्थ्य व्यवसाय संग सम्बन्धीत) प्रमाण पत्र तह वा सो सरह उतिर्ण गरेको योग्यताको लब्धाङ्क पत्र र चारित्रिक प्रमाण पत्र
4. सम्बन्धित विश्वविद्यालय÷परिषद÷बोर्ड बाट प्रदान गरीएको ओरिजिनल÷प्रोभिजनल प्रमाण पत्र
5. व्यवसायिक÷प्राविधिक शिक्षाको प्रमाण पत्र तह वा सो सरहको शैक्षिक योग्यताको लागि भर्ना योग्यता प्रमाण पत्र वा सो सरह (विज्ञान) भएकाहरुको हकमा सो योग्यताको लब्धाङ्क पत्र र चारित्रिक प्रमाण पत्र
6. सिप अध्यापन गराउन सक्षम योग्य जनशक्ति भएको स्तरीय स्वास्थ्य संस्थाबाट जारी भएको OJT / INTERNSHIP गरेको प्रमाण पत्र
7. विदेशी शिक्षण संस्थाबाट उतिर्ण गरेको भए समकक्षताको प्रमाण पत्र
8. विदेशी शिक्षण संस्थाबाट उतिर्ण गरेको भए उक्त योग्यताको CURRICULUM र शिक्षण संस्थाको Prospectus समेतको सक्कल तथा प्रतिलिपी परिषद कार्यालयमा बुझाउनु पर्नेछ (Upload गर्नु नपर्ने)
9.परीक्षा दस्तुर रु. ३०००। नेपाल एस.वि.आई बैंक खाता नं. २०४३५२४०१००००८ वा हिमालयन बैंक खाता नं. ००२००५७४६६००१६ मा दाखिला गरेको भौचर।
10. परीक्षामा उतिर्ण भए पश्चात नाम दर्ता दरखास्त दस्तुर रु. १०५०।– नेपाल एस.वि.आई बैंक खाता नं. २०४३५२४०१००००८, हिमालयन बैंक खाता नं. ००२००५७४६६००१६ वा वा राष्ट्रिय बाणिज्य बै.क खाता नं. 115000213301 मा दाखिला गरेको भौचर (विदेशि शिक्षण संस्थाबाट अध्ययन गरेकाहरुको हकमा दस्तुर रु. २०५०।– वैंक दाखिला गरेकोे भौचर)
11. LOG BOOK बुझाउनु पर्ने व्यवसायीहरुको हकमा ती व्यवसायीहरुले आफ्नो शिक्षण संस्थामा सक्कलै LOG BOOK बुझाउने र अध्ययन गरेको शिक्षण संस्थाले आफ्ना विद्यार्थीहरुको सक्कलै LOG BOOK संकलन गरी १५ दिन भित्र परिषद समक्ष बुझाउनु पर्ने ।
12. दफा २ अनुसारका SCAN गरी UPLOAD गरेका प्रमाण पत्र, कागजातहरुको सत्यापन पक्ष (ORIGINALITY) को जिम्मेवारी आवेदक स्वयं हुनेछ र UPLOAD गरेका सबै कागजातहरुको सक्कलै कपी प्रमाणपत्र लिन आउँदा लिएर आउनु पर्नेछ ।
13. कृपया सक्कल कागजातको स्कयान मात्र Upload गर्नु होला ।  (Please upload the scan of Original Document Only)
14. Nepal SBI Bank= 20435240100008     
           Himalayan Bank= 00200574660016
           Rastriya Banijya Bank= 115000213301

तृतीय तहको लागि

1. नेपाली नागरिकताको प्रमाण पत्र
2. साधारण योग्यता (टेष्ट÷एस.एल.सी.) को लब्धाङ्क पत्र र चारित्रिक प्रमाण पत्र
3. व्यवसायिक योग्यता (T-SLC) (कम्तीमा एक शैक्षिक वर्षको तालीम) को लब्धाङ्क पत्र र चारित्रिक प्रमाण पत्र (पूनः परीक्षा दिइ उतिर्ण गरेको भए प्रत्येक सालको लब्धाङ्क पत्र)।
4. सम्बन्धीत परिषद बोर्डले प्रदान गरेको ओरिजिनल ÷प्रोभिजनल प्रमाण पत्र
5. सिप अध्यापन गराउन सक्षम योग्य जनशक्ति भएको स्तरीय स्वास्थ्य संस्था बाट जारी भएको OJT गरेको प्रमाण पत्र
6. विदेशी शिक्षण संस्थाबाट उतिर्ण गरेको भए समकक्षताको प्रमाण पत्र
7. नाम दर्ता दरखास्त दस्तुर रु. ७५०।– नेपाल एस.वि.आई बैंक खाता नं. २०४३५२४०१००००८, हिमालयन बै.क खाता नं. ००२००५७४६६००१६ वा राष्ट्रिय बाणिज्य बै.क खाता नं. 115000213301 मा दाखिला गरेकोे भौचर (विदेशि शिक्षण संस्थाबाट अध्ययन गरेकाहरुको हकमा दस्तुर रु. १५५०।– वैंक दाखिला गरेकोे भौचर)
8. LOG BOOK बुझाउनु पर्ने व्यवसायीहरुको हकमा ती व्यवसायीहरुले आफ्नो शिक्षण संस्थामा सक्कलै LOG BOOK बुझाउने र अध्ययन गरेको शिक्षण संस्थाले आफ्ना विद्यार्थीहरुको सक्कलै LOG BOOK संकलन गरी १५ दिन भित्र परिषद समक्ष बुझाउनु पर्ने ।
9. दफा २ अनुसारका SCAN गरी UPLOAD गरेका प्रमाण पत्र, कागजातहरुको सत्यापन पक्ष (ORIGINALITY) को जिम्मेवारी आवेदक स्वयं हुनेछ र UPLOAD गरेका सबै कागजातहरुको सक्कलै कपी प्रमाणपत्र लिन आउँदा लिएर आउनु पर्नेछ ।
10. कृपया सक्कल कागजातको स्कयान मात्र Upload गर्नु होला । (Please upload the scan of Original Document Only)
11. Nepal SBI Bank= 20435240100008
          Himalayan Bank= 00200574660016
          Rastriya Banijya Bank= 115000213301

बैंक अकाउन्ट NHPC   वेवसाइटबाट कन्फर्म गर्नुहोला! 

(NOTE: Taken from NHPC site for education purpose only) mail at mail@chaitanya.com.np for removal if copyright applies)

How does a stethoscope work? A wikihow to stethoscope

How does a stehoscope work: A complete guide on how a stethoscope works

A stethoscope works by transmitting sound waves from the patient’s body to the listener’s ears through a chestpiece, tubing, and earpieces. The vibrations caused by bodily functions are converted into audible sound waves, enabling healthcare professionals to assess and diagnose various conditions.
stethoscope 

The Science Behind Stethoscopes: How Do They Actually Work?

For centuries, the stethoscope has been an essential tool in the medical field, enabling physicians to listen to the sounds of the body and diagnose a variety of conditions. But have you ever wondered how exactly this simple device works? The science behind stethoscopes is fascinating and complex, involving principles of acoustics, physics, and human anatomy. From the diaphragm to the earpieces, every component of the stethoscope plays a crucial role in transmitting and amplifying the sounds of the body. Understanding how stethoscopes work can help us appreciate the remarkable precision and accuracy of modern medical technology. In this article, we will dive deeper into the science behind stethoscopes, exploring the mechanics of sound transmission, the anatomy of the human body, and the history of this iconic medical instrument. So, put on your lab coat and let’s explore the science of stethoscopes together!

The History of Stethoscopes

The stethoscope has a long and fascinating history, dating back to the early 19th century when it was first invented by a French physician named René Laennec. In those days, doctors would listen to the sounds of their patients’ bodies by placing their ear directly against the patient’s chest or back, which was not only uncomfortable but also unhygienic. Laennec was inspired to invent the stethoscope after observing two children playing with a long wooden stick, one end of which was placed against the ground while the other end was placed against the ear. He realized that this simple principle could be applied to listening to the sounds of the body, and thus the stethoscope was born.
The first stethoscopes were made of wood and were shaped like a tube with a bell-shaped end that was placed against the patient’s chest. The other end of the tube was placed against the doctor’s ear, allowing them to hear the sounds of the body more clearly. Over time, stethoscopes evolved to include a diaphragm that could be used to listen to higher-frequency sounds, such as heart murmurs, and a bell that could be used to listen to lower-frequency sounds, such as lung sounds.
Today, stethoscopes come in a variety of shapes and sizes and are made from a range of materials, including plastic, metal, and rubber. Despite these changes, the basic principle of the stethoscope remains the same: to amplify the sounds of the body and enable doctors to diagnose a variety of conditions.

How Do Stethoscopes Work?

At its most basic level, a stethoscope works by transmitting sound waves from the patient’s body to the doctor’s ear. Sound waves are created by the movement of air molecules, which vibrate as they travel through the body. These vibrations are then transmitted through the stethoscope to the doctor’s ear, where they are amplified and interpreted.
The key component of the stethoscope that enables this process to occur is the diaphragm. The diaphragm is a thin, flexible membrane that is placed against the patient’s skin. When sound waves from the body hit the diaphragm, they cause it to vibrate, creating a mechanical signal that is transmitted through the stethoscope tubing to the doctor’s ear.
The tubing of the stethoscope also plays a crucial role in sound transmission. The tubing is designed to be narrow and flexible, which helps to filter out unwanted background noise and amplify the sounds of the body. The length of the tubing can also affect the quality of sound transmission, with longer tubing generally producing a clearer sound.
The earpieces of the stethoscope are also important for sound transmission. The earpieces are designed to fit snugly in the doctor’s ears, creating a seal that helps to block out unwanted noise and ensure that the sounds of the body are heard clearly. Some stethoscopes also come with noise-cancelling features, which can help to further filter out background noise and improve sound quality.

The Anatomy of a Stethoscope

To understand how stethoscopes work, it’s important to first understand the anatomy of the device. A stethoscope is made up of several key components, each of which plays a crucial role in sound transmission.
The chestpiece is the part of the stethoscope that is placed against the patient’s skin. The chestpiece can be either a diaphragm or a bell, depending on the type of sound that needs to be heard. The diaphragm is a thin, flat piece of plastic or metal that vibrates when sound waves hit it. The bell, on the other hand, is a larger, concave piece of metal that is used to listen to lower-frequency sounds.
The tubing of the stethoscope connects the chestpiece to the earpieces. The tubing is typically made of rubber or plastic and is designed to be narrow and flexible, allowing sound waves to travel through it with minimal distortion.
The earpieces of the stethoscope are the part that is inserted into the doctor’s ears. The earpieces are usually made of soft rubber or plastic and are designed to fit comfortably in the ear canal. Some stethoscopes also come with adjustable earpieces, which can be moved up or down to accommodate different ear sizes.

Types of Stethoscopes and Their Uses

There are several different types of stethoscopes, each of which is designed for a specific purpose. The most common types of stethoscopes include:

  • – Acoustic stethoscopes: These are the most basic type of stethoscope and rely solely on sound transmission through the tubing and earpieces.
  • – Electronic stethoscopes: These stethoscopes use electronic amplification to enhance sound quality and filter out unwanted noise.
  • – Fetal stethoscopes: These stethoscopes are designed specifically for listening to the heartbeat of a fetus.
  • – Pediatric stethoscopes: These stethoscopes are designed for use on infants and young children and have smaller chestpieces and earpieces.
  • – Cardiology stethoscopes: These stethoscopes are designed for use in cardiology and have a larger diaphragm and a bell for listening to both high- and low-frequency sounds.
  • – Dual-head stethoscopes: These stethoscopes have both a diaphragm and a bell, allowing doctors to listen to a wider range of sounds.

Stethoscope Materials and Construction

  • Stethoscopes are made from a variety of materials, each of which has its own unique properties and benefits. The most common materials used in stethoscope construction include:
  • – Plastic: Plastic stethoscopes are the most basic type of stethoscope and are typically the least expensive. They are lightweight and easy to clean but may not provide the highest quality sound transmission.
  • – Metal: Metal stethoscopes are more durable and provide better sound transmission than plastic stethoscopes. They are typically more expensive but are also more reliable and long-lasting.
  • – Rubber: Rubber stethoscopes are soft and flexible, making them comfortable to use for extended periods of time. They are also easy to clean and maintain.

The construction of a stethoscope can also affect its sound quality and durability. High-quality stethoscopes are typically made with precision components and feature tight seals and well-constructed tubing to ensure clear sound transmission.

The Importance of Proper Stethoscope Maintenance

Proper maintenance of a stethoscope is essential for ensuring that it continues to function properly and provide accurate sound transmission. Some key tips for stethoscope maintenance include:

  • – Clean your stethoscope regularly with a mild soap and water solution.
  • – Store your stethoscope in a clean, dry place when not in use.
  • – Avoid exposing your stethoscope to extreme temperatures or sunlight.
  • – Replace worn or damaged parts of your stethoscope as needed.

By taking care of your stethoscope, you can ensure that it continues to provide reliable and accurate sound transmission for years to come.

Innovations in Stethoscope Technology

In recent years, there have been several exciting innovations in stethoscope technology that have helped to improve sound quality and diagnostic accuracy. One of the most notable of these is the electronic stethoscope, which uses advanced amplification and filtering technology to provide clearer sound transmission.
Other innovations include the development of stethoscopes with Bluetooth connectivity, which can allow doctors to transmit heart and lung sounds directly to a computer or mobile device for analysis. Some stethoscopes also come with built-in recording features, allowing doctors to record and review sounds at a later time.

Common Stethoscope Myths Debunked

There are several common myths and misconceptions surrounding stethoscopes. One of the most persistent of these is the idea that you can hear a patient’s thoughts or emotions through a stethoscope. In reality, stethoscopes are designed solely for the purpose of listening to the sounds of the body and cannot pick up on thoughts or emotions.
Another common myth is that stethoscopes are only used for listening to the heart. While the heart is certainly one of the most important organs that can be listened to with a stethoscope, doctors also use stethoscopes to listen to the lungs, stomach, and other parts of the body.

Conclusion

The stethoscope is a remarkable tool that has played a crucial role in the history of medicine. From its humble beginnings as a simple wooden tube to the high-tech electronic devices of today, the stethoscope has continued to evolve and improve over time. By understanding the science behind stethoscopes, we can appreciate the remarkable precision and accuracy of modern medical technology and the incredible insights it can provide into the workings of the human body. Whether you’re a physician, nurse, or simply someone with an interest in science and medicine, the stethoscope is a fascinating subject that is sure to captivate and inspire.

Council For Technical Education and Vocational Training CTEVT

Council For Technical Education and Vocational Training CTEVT

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Introduction to CTEVT

The Council for Technical Education and Vocational Training (CTEVT) constituted in 1989 (2045 BS) is a national autonomous apex body of Technical and Vocational Education and Training (TVET) sector committed for the production of technical and skillful human resources required to the nation. It mainly involves in policy formulation, quality control, preparation of competency based curriculum, developing skill standards of various occupations and testing the skills of the people, conduct various research studies and training needs assessment etc.

It has an assembly consisting of 24 members and a governing board known as Council comprising nine members. Minister of Education chairs both the Assembly and the Council. The Council has a full time Vice-Chairperson and a Member-Secretary.

Vision of CTEVT

Skilling Nepal for People’s Prosperity

Mission of CTEVT

CTEVT is a vibrant organization promoting TVET system to develop a competent workforce for national and international market needs

Goals of CTEVT

In order to achieve and attain the mission and vision, CTEVT has set the following six goals:
  1. Expand TVET programs for ensuring access and equity
  2. Ensure quality, relevant and efficient TVET system
  3. Enhance effectiveness and efficiency of CTEVT management
  4. Establish NVQF to ensure its compatibility with education framework
  5. Extend technical input to establish TVET Fund
  6. Establish effective coordination with and among TVET Stakeholders

Major Responsibilities of CTEVT

CTEVT mainly has the following responsibilities:

  1. Provide advice to the Government of Nepal regarding TEVT policy and programs.
  2. Determine scope and standards of TEVT programs.
  3. Arrange for and conduct TEVT Programs from basic level to higher education.
  4. Liaison and maintain coordination with national and international TEVT agencies for quality education and training.
  5. Extend technical input to establish TVET Fund
  6. Establish effective coordination with and among TVET Stakeholders

CTEVT contacts: 

CTEVT Location: Sanothimi Bhaktapur, Nepal

CTEVT Phone: +977 – 1 – 6631458, 6631459, 6630769

CTEVT E-mail: info@ctevt.org.np, research@ctevt.org.np

CTEVT E-mail: info@ctevtexam.org.np (For examination purpose)

CTEVT Website: http://www.ctevt.org.np

Check CTEVT result at

CTEVT P.O. Box: 3546, Kathmandu, Nepal

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