Various anthropometric indices have been proposed to assess central obesity and predict metabolic syndrome (MetS). However, their ability MetS has not evaluated in the Nepali adult population. This study compared predictive potential of 12 novel traditional for its components among adults. cross-sectional study, conducted between January 2022 June 2023, involved 1,116 participants (424 females, 692 males) aged 30-86 years from Gandaki Province, Nepal. Twelve were calculated primary...

Stroke is usually end result of predisposing conditions that originated years before the ictus. Identification its modifiable risk factors can help in planning preventive strategies.To study stroke adult patients.A hospital based prospective cross sectional was carried out 160 patients admitted Manipal Teaching Hospital, Pokhara from November 2007- October 2010. Diagnosis confirmed by CT scan brain. Patients were then investigated for presence conventional factors. The data statistically...

Abstract Nepal's Ministry of Health began offering free lifetime hemodialysis (HD) in 2016. There has been a large growth renal replacement therapy (RRT) services offered Nepal since 2010, when the last known data on subject was published. In 2016, 42 HD centers existed (223% increase 2010) serving 1975 end stage disease patients (303% 2010); 36 nephrologists were registered (200% 2010), 12 trained transplantation, and 790 transplants had performed to date. We estimate incidence be 2900 (100...

Background: Acute poisoning is a common medical emergency encountered in practice. The knowledge profile of cases particular area useful to prepare health care professionals handle these emergencies efficiently. Methods: This retrospective study was carried out by perusing and analyzing the hospital records all 160 admitted above 15 years age Manipal Teaching Hospital, Pokhara, Nepal from July 2008 June 2011. Results: maximum percentage (43.1%) occurred younger group (15-24 years). Gender...

Background: Acute coronary syndrome (ACS) is the major manifestation of artery disease (CAD), which a killer mankind. The modifiable risk factors for CAD may have different impact on men and women, also differ in population groups. Identification control conventional expected to result decline incidence similar that seen western industrialized countries. Method: A retrospective study 232 consecutive patients admitted Manipal Teaching Hospital, Pokhara between September 2009 December 2010 by...

Background and aims: Serum thyroid hormonal changes can occur in acute or chronic non-thyroidal systemic illness including coronary syndrome otherwise euthyroid individuals. In this study we aimed to assess profile patients presenting with syndromes (ACS) compare between ST segment elevated myocardial infarction unstable angina/Non infarction.Methods: A hospital based, retrospective, observational comparative was designed. Data of all were collected from July 2015 through June 2017 a...

Introduction: The prevalence of cutaneous manifestations in hemodialysis patients is increasing.
 Objectives: aim this study was to determine the and pattern various undergoing maintenance hemodialysis.
 Material Methods: A hospital based cross sectional conducted patient at least for three months dialysis unit Manipal Teaching Hospital Pokhara, Nepal during period from August 2018 January 2019. demographic questionnaire a checklist about disorders were used data collection....

Background and Aims: Glomerular disease is the one of major cause end stage kidney in Nepal. We have undertaken this study to know spectrum glomerular native kidneys patients attending department nephrology Nepal Medical College Teaching Hospital.Methods: This a retrospective analysis who undergone biopsy from July 2013 June 2014. Seventy five cases were included. reviewed requisition where available admission forms for symptoms, indications complications biopsy, urine report final report....

<title>Abstract</title> Background Various anthropometric indices have been proposed to assess central obesity and predict metabolic syndrome (MetS). However, their predictive capabilities for MetS not evaluated in the Nepali adult population. This study aimed compare potential of 12 its components among adults. Methods Baseline data were collected from 1116 residents (424 females, 792 males) Gandaki Province, Nepal aged between 30–86 years. Twelve viz. Body Mass Index (BMI), Waist-Hip Ratio...

Background and Aims: Microalbuminuria (MA) (urinary albumin excretion of 30-299 mg/d in a 24 hours collection or μg/mg creatinine spot collection) is well accepted marker micro macrovascular damage patients with diabetes mellitus considered as surrogate for endothelial dysfunction diabetic non-diabetic patients. This study has been undertaken to investigate the prevalence microalbuminuria among Acute Coronary Syndrome (ACS) patients.&#x0D; Methods: A hospital based cross-sectional 100...

We report two cases of female patients presented with hypokalemia secondary to renal tubular acidosis. Sjögren’s syndrome was diagnosed in both the on basis histopathological and autoantibodies tests. The were treated potassium bicarbonate supplementation. Renal involvement is not uncommon may precede sicca complaints. pathology most a tubulointerstitial nephritis causing distal acidosis rarely, hypokalemic paralysis. complications include life threatening hypokalemia, nephrolithiasis,...

Introduction: Malnutrition is a common problem in hemodialysis patient, which associated with increased mortality and morbidity. There paucity of data regarding the nutritional status patient on maintenance developing countries. This study attempts to access patients tertiary referral hospital western region Nepal correlate it biochemical laboratory parameters.Methods: A total fifty were evaluated. Nutritional assessment was made by Subjective Global Assessment (SGA) score, anthropometrics...

Background and Aims: Kidney biopsy is decisive while evaluating for the diagnosis of glomerular, vascular, tubulointerstitial genetic diseases. There paucity data on prevalence pattern various types kidney diseases in Nepalese population. We describe patient population undergoing at our centre.&#x0D; Methods: This a prospective analysis all patients, who underwent percutaneous renal Manipal teaching hospital, over duration 30 months, i.e. August 2017 to January 2019. All kinds disease...

Background and Aims: Chronic ambulatory peritoneal dialysis (CAPD) has been established form of therapy in adults patients with end stage kidney diseases emerged as a feasible modality renal replacement therapy. The aim the study was to evaluate complications CAPD its contributing factor order improve patient survival reduce morbidity mortality.Methods: A hospital based retrospective 35 who opted for at Manipal teaching hospital, Pokhara from 1st June 2015 31st May 2016 carried out.Results:...

The global program to eliminate Lymphatic Filariasis created by World Health organization in 1997 is based on mass administration of single annual doses diethylcarbamazine ( DEC) plus albendazole non African regions and ivermectin Africa. usual side effects DEC treatment include fever, chills, arthralgia, headaches, nausea, vomiting. Albendazole associated with relatively few consisting occasional vomiting, abdominal pain, headache, reversible alopecia, elevated aminotransferases rarely...

Background and Aims: Coronary angiography/ interventions depend on iodinated contrast media (CM) consequently pose risk of contrast-induced acute kidney injury (CI-AKI). This is an important complication that accounts for a significant number cases hospital-acquired injury, with adverse effects prognosis health care. study aimed to assess incidence evaluate factor CI-AKI associated diagnostic or interventional coronary angiography.&#x0D; Methods: A prospective cross sectional observational...

Introduction: Cardiovascular disease is frequent in end-stage kidney patients, and a major cause of morbidity mortality. This study was carried out to assess the comparative cardiac effects hemodialysis continuous ambulatory peritoneal dialysis on left ventricular function.Methods: A prospective observational patients undergoing or at least for 6 months. The duration from June 2019 May 2020. CAPD consists 3 4 exchanges/day haemodialysis 2-3 times/week hours. Baseline characteristics age,...

Background: Stroke/ cerebrovascular accidents are common and among the major causes of mortality morbidity. Thromboembolism also ischemic strokes. Diagnosis atrial fibrillation makes difference in management strokes for long term as anticoagulation given these cases prevention further embolic events.&#x0D; Methods: A prospective observational study was done from july 2019 to june 2021 patients admitted who were otherwise found have normal sinus rhythm. 24 hour holter monitor connected...