A5090832022- Hepatitis B Virus Studies
- Cardiac pacing and defibrillation studies
- Liver Disease and Transplantation
- Esophageal and GI Pathology
- HIV, Drug Use, Sexual Risk
- Hepatitis C virus research
- Urological Disorders and Treatments
- Shoulder Injury and Treatment
- Shoulder and Clavicle Injuries
- Cardiovascular Issues in Pregnancy
- Musculoskeletal synovial abnormalities and treatments
- Cardiac Arrhythmias and Treatments
- Liver Disease Diagnosis and Treatment
- Urologic and reproductive health conditions
- Lipid metabolism and disorders
- Hepatitis Viruses Studies and Epidemiology
- Heart Failure Treatment and Management
- Vascular Malformations and Hemangiomas
- Gastrointestinal disorders and treatments
- COVID-19 and Mental Health
- Healthcare professionals’ stress and burnout
- Whipple's Disease and Interleukins
- Cervical Cancer and HPV Research
- Blood Coagulation and Thrombosis Mechanisms
- COVID-19 Pandemic Impacts
Bhaktapur Cancer Hospital
2023-2024
Nepalese Army Institute of Health Services
2021-2023
Mount Sinai Hospital
2021
Introduction The COVID-19 pandemic has caused discrimination and social stigma among healthcare workers (HCW) causing psychological problems due to prolonged work shifts, uncertain pay, lack of personal protective equipment (PPE), added fear infection self or family, so on. This online survey is directed towards the determination anxiety, depression, providers in Nepal during later phase first wave pandemic. Materials methods Anxiety depression were assessed using standard Generalized...
Isolated fallopian tube torsion is a rare condition presenting with abdomen pain. The diagnosis challenging because the clinical findings mimic several other conditions. In this article, we present case of an adolescent girl who was diagnosed during laparoscopy.A 15-year-old presented complaints sudden onset left lower quadrant pain, nausea, and vomiting. There tenderness in iliac fossa. Ultrasonography revealed inconclusive contrast-enhanced computed tomography pelvis suggested possible...
Protein S is a vitamin K-dependent protein that acts as break in secondary hemostasis by inactivating activated factor V and VIII. We report case of 40 years old male who had the first episode deep vein thrombosis left lower limb 10 back, which despite treatment, reoccurred 3 months later bilateral limb. Thrombophilic screening showed severe deficiency. The patient then developed both upper limbs. was advised to place an inferior vena cava filter, he denied. now presenting with multiple...
Background Hepatitis B and C (HBV HCV) are viral infections caused by corresponding viruses. Here in this study we planned to conduct meta-analysis pool data on the prevalence risk factors of HBV and/or HCV among HIV patients Nepal. Method We used MOOSE guideline for systemic review available literature. searched online databases using appropriate keywords. CMA-3 synthesis. Odds ratio, proportion were estimate outcome with a 95% confidence interval where appropriate. assessed heterogeneity...
Peripartum cardiomyopathy (PPCM) is a rare cause of heart failure associated with pregnancy without any other known cause. With prognosis that can vary from the complete recovery left ventricular function to maternal mortality as well recurrence subsequent pregnancies, early diagnosis and treatment PPCM important in management. Bromocriptine beneficial effects on LVEF women severe acute addition standard therapy. However, further study required establish its effect PPCM.
Abstract Urethral duplication is uncommon with few cases reported in the literature. We report a case which patient presented discharge from proximal part of penis since childhood and recent history infection. The diagnosis pre‐pubic sinus was made complete excision tract done.
Marginal ulcers are rare complications of pancreatoduodenectomy. Patient can present with varying symptoms such as epigastric discomfort, pain, dysphagia, or in emergency department like bleeding and perforation.
Primary intestinal lymphangiectasia (PIL) is a rare congenital disorder characterized by lymphatic system obstruction, resulting in the leakage of lymph into bowel lumen. We present case 6-year-old boy with recurrent diarrhea and weight loss. On examination, bilateral pitting edema lower limbs was observed. Laboratory investigations revealed hypoalbuminemia lymphopenia. Contrast-enhanced CT abdomen showed thickening jejunum, echogenic fat islands, enlarged nodes mesentery. The diagnosis...
Key Clinical Message It is of utmost importance to be aware acute calcific periarthritis, as it may confuse the clinicians leading misdiagnosis. Furthermore, patients subjected various diagnostic and invasive procedures due a lack familiarity with this condition. Abstract Deposition hydroxyapatite crystals in para‐articular soft tissues well‐known condition, often involving shoulder joint. However, deposition calcium salts tissue acromioclavicular joint has rarely been described. We report...
Urethral duplication is uncommon with few cases reported in the literature. We report a case which patient presented discharge from proximal part of penis since childhood and recent history infection. The diagnosis pre-pubic sinus was made complete excision tract done.
Objectives: The Clinicopathological features of female breast malignancies (BMs) diagnosed in northern Ghana have not been documented adequately. objectives this review were to describe the annual trend, clinico-pathological BMs Ghana, and offer recommendations.Material methods: Clinical biographical data patients correlated with pathological data, such as tumour size, histological subtype, grade, TNM stage completeness excision (Tumour margins). analysed using SPSS software version 26.0...
Deposition of hydroxyapatite crystals in the para-articular soft tissues is a well-known condition. However, this condition has been rarely described acromioclavicular joint . We report case 55 year gentleman, presented with acute onset shoulder pain , who was diagnosed calcific periarthritis joint.
Perforated marginal ulcer following Whipple procedure: A case reportAbstractMarginal ulcers are rare complications of pancreatoduodenectomy. Patient can present with varying symptoms such as epigastric discomfort, pain, dysphagia, or land in emergency like bleeding and perforation.IntroductionWhipple procedures performed for variety benign malignant lesions affecting the pancreatic head, duodenum, distal bile duct.1 Marginal ulcer, one long term pancreatoduodenectomy, ulcerations that occur...
Case Series from NepalAbstract: Peripartum cardiomyopathy (PPCM) is a rare cause of heart failure associated with pregnancy without any other known cause.Most the clinical presentation similar to symptoms advanced making diagnosis difficult.Reported are three patients who developed dyspnea, orthopnea, and dry cough during first week puerperium.On examination, bilateral lower limb edema basal lung crepitation were present in all patients.Chest radiograph showed pulmonary cases two three,...