A5101944097- Urological Disorders and Treatments
- Kidney Stones and Urolithiasis Treatments
- COVID-19 and healthcare impacts
- Urinary and Genital Oncology Studies
- COVID-19 and Mental Health
- Bladder and Urothelial Cancer Treatments
- Pediatric Urology and Nephrology Studies
- COVID-19 Clinical Research Studies
- Ureteral procedures and complications
- Mental Health Treatment and Access
- Bacterial Infections and Vaccines
- Urologic and reproductive health conditions
- Urinary Tract Infections Management
- COVID-19 diagnosis using AI
- Anorectal Disease Treatments and Outcomes
- Infectious Diseases and Tuberculosis
- Sarcoma Diagnosis and Treatment
- Adrenal and Paraganglionic Tumors
- Urinary Bladder and Prostate Research
- Musculoskeletal synovial abnormalities and treatments
- Tumors and Oncological Cases
- Climate Change, Adaptation, Migration
- Amoebic Infections and Treatments
- Pediatric Hepatobiliary Diseases and Treatments
- Intracerebral and Subarachnoid Hemorrhage Research
Tribhuvan University Teaching Hospital
2023-2024
Nepalese Army Institute of Health Services
2016-2023
Bir Hospital
2012-2023
Rajiv Gandhi Cancer Institute and Research Centre
2020-2021
Creative Commons
2020
The COVID-19 pandemics caused an unprecedented mortality, distress, and globally poses a challenge to mental resilience. To our knowledge, this is the first study that aimed investigate psychological distress among adult general population across 13 countries. This cross-sectional was conducted through online survey by recruiting 7091 respondents. Psychological evaluated with Peritraumatic Distress Index (CPDI). crude prevalence of due highest in Vietnam, followed Egypt, Bangladesh. Through...
Abstract Background COVID-19 pandemic has created unprecedented health and economic impact. Psychological stress, anxiety depression are affecting not only patients but also professionals, general population. Fear of contracting COVID-19, forced restrictive social measures, hardship causing mental trauma. Nepal is a developing country from South Asia where the still evolving. This online survey been carried out to understand impact COVID- 19 on Nepalese community dwellers. Methods The...
Background Hepatitis B imposes a major public health problem with an increased risk of occupational exposure among unvaccinated care workers. This study was conducted to determine the vaccination status, along knowledge, attitude, and practice regarding B, preclinical medical students college in Nepal. Materials methods descriptive Kathmandu, Nepal from 6 th July 14 2020. The whole sampling technique used. Data were collected using pretested, self-administered questionnaire which emailed...
Coronavirus disease (COVID-19) is a global pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Patients commonly present with tract symptoms and fever. However two third are asymptomatic unusual presentation evolving. This has cause management dilemma among physicians.A 35 year young otherwise healthy male presented to emergency department of this institute fever 103 °F, abdominal pain, pancytopenia progressive fall in hemoglobin level was tested positive for...
Background Informed consent-taking is a part of clinical practice that has ethical and legal aspects attached to it. This protects the autonomy patients by providing complete information regarding rationale, modality, potential risks, benefits, alternatives planned procedure patients. enables make right decision for themselves their care. study aims find out if informed process ensured active participation or next kin in decision-making. Materials methods prospective cross-sectional...
Brain abscess (BA) is a pyogenic infection of the brain parenchyma caused by various organisms. Multiple BAs are uncommon in neonates, and
Introduction: Double J stent is one common armamentarium used in urological procedure. It can serve both therapeutic and prophylactic function. However the use of double invariably associated with minor to some major complications. Forgotten DJ untoward issue stenting patient that largely preventable entails complex procedure remove it. Methods: We performed descriptive study where data were collected prospectively from patients who have ureteral situ after Stent left more than three months...
Abstract
Introduction: The incidence of small and medium size renal stones is rising. Stone clearance, bleeding, urine leak infectious complications are major concerns for urologist. Urologist chooses best technique from list armamentarium available. Minimally invasive approach like Percutaneous Nephrolithotomy (PCNL) has significantly influenced the stone management since 1976. Miniaturisation instruments allow more effective safer alternatives urolithasis management.
 Methods: This a...
Abstract Background: COVID-19 pandemic has created unprecedented health and economic impact. Psychological stress, anxiety depression are affecting not only patients but also professionals, general population. Restrictive measures; fear of contracting COVID-19; hardship to carry out livelihood is causing traumas mental health. Nepal a developing country from South Asia where the yet reach at peak. This online survey been carried understand impact COVID 19 on Nepalese community dwellers....
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.
Abstract Objective To describe a decade of our experience with neo‐urethral modification ileal orthotopic neobladder (pitcher pot ONB). Multiple investigators have reported similar modifications. However, long‐term longitudinal functional and quality life (QOL) outcomes are lacking. Methods Prospectively maintained hospital registry for 238 ONB patients comprising mix open robotic surgery cohorts from 2007 to 2017, minimum 2 years follow‐up was retrospectively queried. QOL evaluated using...
Introduction: The abdominal trauma is a surgical emergency most of which are preventable and many them could have good outcome with timely management by dedicated system. It not only the rising health problem but also social economic burden. A study on can guide to cost-effective quality patients. This undertaken evaluate predictors in patients tertiary care centers Nepal.Methods: Seventy five who underwent intervention were evaluated prospectively inside inclusion criteria. Ethical approval...
Introduction: With the developments of non invasive and minimally technology in management urolithiasis, choice open surgery is rapidly decreasing. The optimal modality stone governed by multiple factors like parameters, patient character, availability surgeon's skill. Open or laparoscopic ureterolithotomy can be used as primary treatment option for large, impacted ureteral stones more than 1.5 cm an adjunct procedure case failed ESWL attempted URS PCNL.Methods: This a prospective...
<p><strong>Introduction: </strong>Neurogenic bladder (NGB) is common in daily urological practice; however, information on types of complications encountered army and veterans are not under strict surveillance little known to them about the best way manage condition. This observational study aimed determine regular soldiers with traumatic spinal cord injury (SCI) NGB, usage management programs deal NGB.</p><p class="Default"><strong>Methods:...
Response evaluation in locally advanced breast cancer is done through different methods ranging from clinical examination to magnetic resonance imaging, however with positron-emission tomography/computed tomography (PET/CT) now being incorporated for the response evaluation. The aim of present study correlate neoadjuvant chemotherapy (NACT) PET/CT scan.The a retrospective analysis 30 advanced, triple-negative patients. scan was pretreatment and post three six cycles NACT correlated...
Neuroblastoma is an embryonal malignancy that arises from neural crest cells. Adult adrenal neuroblastoma a rare disease, and less than 100 cases were reported in the literature. commonly presents with abdominal (retroperitoneal) lump pain. A 35-year-old male patient presented giant ( <math xmlns="http://www.w3.org/1998/Math/MathML" id="M1"> <mn>20</mn> <mtext> </mtext> <mtext>cm</mtext> <mo>×</mo> <mn>17</mn> <mn>12</mn> </math> ) nonfunctional left mass. He underwent en-bloc surgical...
Introductions: Laparoscopic surgery is a rapidly emerging option in urology. With the advances technology and instruments, currently this viable alternative to treat complex surgical diseases as well reconstructive surgery.Methods: This was prospective observational study analyze outcome of laparoscopic nephrectomy. A total 51 patients had undergone nephrectomy over period five years. The variables analyzed were, age, sex, operative time, estimated blood loss, length hospital stay,...
Postcholecystectomy syndrome is the recurrence of symptoms after cholecystectomy. due to a combination cystic duct stump calculus and choledochal cyst with recurrent choledocholithiasis rare presentation. This case report patient who had developed common bile calculi despite endoscopic removal eventully managed Rou-en-Y Hepati cojejunostomy for having 39 years postcholecstectomy. Medical Journal Shree Birendra Hospital; Jan-June 2012/vol.11/Issue1/52-54 DOI: http://dx.doi.org/10.3126/mjsbh.v11i1.7792
Abstract Coronavirus disease 2019 (COVID-19) has put an unprecedented burden to world health, economy and social life with possible long-term consequences. The velocity mass of this infection pandemic had already overwhelmed every robust health care system in the world. evidence pertaining novel is evolving, so are challenges terms adequate preparedness response. In review, we enumerate strategic operational domains build a functional framework for management hospital incidents due COVID-19...
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.
Introduction: COVID-19 pandemic is grappling the world with surge of infection time and again. Clinicians are trying to justify ethics public health care. Asymptomatic cases going undocumented most them practice self-isolation. Studies have revealed significant radiological changes among RT-PCR positive asymptomatic cases. The aim this cross-sectional study was characterized chest CT findings RT-PCR-positive patients in one COVID-designated hospitals Nepal. Methods: This a observational...
Introduction: Radical cystectomy and urinary diversion is the standard treatment option for muscle invasive urothelial carcinoma of bladder. We analyzed complications functional outcome 21 consecutive patients who underwent radical studer ileal neobladder substitution.Methods: This was a retrospective study from review chart follow up details Studer substitution January 2009 to February 2014. Data obtained were disease characteristics, both early late continence.Results: Total evaluated. 17...