{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T00:42:35Z","timestamp":1778114555245,"version":"3.51.4"},"reference-count":11,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[1998,10,1]],"date-time":"1998-10-01T00:00:00Z","timestamp":907200000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[1998,10]]},"abstract":"<jats:p>Envenoming from snake bite is an important medical condition, frequently encountered at the emergency department of BPKIHS hospital (Dharan, Nepal). This is a retrospective study of 52 cases of suspected snake bite who presented at the department from August 1993 to November 1994.<\/jats:p>\n                  <jats:p>Analysis of the data showed that snake bite was more frequent between the ages of 11 to 20 years (36.7%) and 2.5 times more common in males. Fifty-seven per cent of the bites occurred between 1600 h and midnight with highest incidence (51%) occurring during the monsoon (August\u2013October). Twenty per cent of the patients were able to identify the snake species as venomous and 90% of them presented to the hospital within 3 h of being bitten. Sixty per cent of the bites were in the lower limb. Neurotoxicity due to envenoming was recorded in nine patients (17%). No case of coagulopathy was recorded. The overall case fatality was 3.8% but mortality amongst those exhibiting signs of neurotoxicity was 22%.<\/jats:p>","DOI":"10.1177\/004947559802800412","type":"journal-article","created":{"date-parts":[[2017,1,20]],"date-time":"2017-01-20T06:21:36Z","timestamp":1484893296000},"page":"223-226","source":"Crossref","is-referenced-by-count":37,"title":["A Clinico-Epidemiological Study of Snake Bite in Nepal"],"prefix":"10.1177","volume":"28","author":[{"given":"Samuel George","family":"Hansdak","sequence":"first","affiliation":[{"name":"Department of Medicine, B P Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kuldeep Singh","family":"Lallar","sequence":"additional","affiliation":[{"name":"Department of Medicine, B P Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paras","family":"Pokharel","sequence":"additional","affiliation":[{"name":"Department of Medicine, B P Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pramod","family":"Shyangwa","sequence":"additional","affiliation":[{"name":"Department of Medicine, B P Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prahlad","family":"Karki","sequence":"additional","affiliation":[{"name":"Department of Medicine, B P Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shekhar","family":"Koirala","sequence":"additional","affiliation":[{"name":"Department of Medicine, B P Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1998,10,1]]},"reference":[{"key":"bibr1-004947559802800412","first-page":"6.66","volume-title":"Oxford Textbook of Medicine","author":"Warrell DA","year":"1987","edition":"2"},{"key":"bibr2-004947559802800412","volume-title":"Poisonous Snake Bile in the United States","author":"Parish HM","year":"1980"},{"key":"bibr3-004947559802800412","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.1983.tb122654.x"},{"key":"bibr4-004947559802800412","first-page":"319","volume":"62","author":"World Health Organization","year":"1987","journal-title":"Nepal WHO Weekly Epidemiolog Rec"},{"key":"bibr5-004947559802800412","doi-asserted-by":"publisher","DOI":"10.1136\/jramc-137-03-03"},{"key":"bibr6-004947559802800412","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.1992.tb139749.x"},{"key":"bibr7-004947559802800412","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.1991.tb94030.x"},{"key":"bibr8-004947559802800412","first-page":"145","volume":"90","author":"Hati AK","year":"1992","journal-title":"J Indian Med Assoc"},{"key":"bibr9-004947559802800412","unstructured":"Swamy Y, Homa M. Snake Bite in India: Animal Plant and Microbial Toxins, Vol. 2. New York: Plenum Publishing, 1974: 451"},{"key":"bibr10-004947559802800412","volume-title":"5th International Symposium on Animal, Plant and Microbial Toxins","author":"Banerjee RN","year":"1976"},{"key":"bibr11-004947559802800412","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.1991.tb121088.x"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/004947559802800412","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/004947559802800412","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T14:00:02Z","timestamp":1777644002000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/004947559802800412"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1998,10]]},"references-count":11,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1998,10]]}},"alternative-id":["10.1177\/004947559802800412"],"URL":"https:\/\/doi.org\/10.1177\/004947559802800412","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[1998,10]]}}}