- Neonatal Respiratory Health Research
- COVID-19 Impact on Reproduction
- Congenital Diaphragmatic Hernia Studies
- Global Maternal and Child Health
- Congenital Anomalies and Fetal Surgery
- Pleural and Pulmonary Diseases
- Neonatal and fetal brain pathology
- Neonatal Health and Biochemistry
- Autopsy Techniques and Outcomes
- Pressure Ulcer Prevention and Management
- Streptococcal Infections and Treatments
- Antibiotic Resistance in Bacteria
- Heme Oxygenase-1 and Carbon Monoxide
- Neonatal and Maternal Infections
- Intestinal Malrotation and Obstruction Disorders
- Vibrio bacteria research studies
- Neuroscience of respiration and sleep
- Nursing Diagnosis and Documentation
- Asthma and respiratory diseases
- Infant Development and Preterm Care
- Lymphatic Disorders and Treatments
- Antimicrobial Resistance in Staphylococcus
- Maternal Mental Health During Pregnancy and Postpartum
- Respiratory and Cough-Related Research
- Cardiac, Anesthesia and Surgical Outcomes
Patan Academy of Health Sciences
2018-2025
B.P. Koirala Institute of Health Sciences
2013-2022
Patan Hospital
2018
Intestinal myiasis is a type of resulting from the accidental consumption Clogmia albipunctata larvae. This generally displays symptoms such as nausea, vomiting, abdominal distention and discomfort, loss appetite, weight loss, intermittent diarrhea. It rare form with relatively scarce literature in Nepal. We report probably first case human intestinal caused by A 39-year-old nondiabetic female, Brahmin belonging to khas/arya ethnicity presented complaints perianal itching, occasional...
Human infections with Serratia spp. are generally limited to marcescens and the liquefaciens complex. There is little data regarding caused by remaining spp., as they seldom isolated from clinical specimens.In this health care setting in Kathmandu, Nepal routine blood culture performed on all febrile patients a temperature >38°C or when there suspicion of bacteremia. During 2015 we atypically identified several We extracted these cases whole genome sequencing isolates using MiSeq system...
The use of Childhood Asthma Control Test (C-ACT) has been advised for monitoring asthma control by the Global Initiative (GINA) guidelines.To validate tool C-ACT assessment and to examine correlation between score lung function assessed forced expiratory volume in one second (FEV1).This was a prospective observational study conducted January 2010 2011. Children diagnosed have bronchial aged 5 14 years, were enrolled study. severity status classified according National Education Prevention...
Introduction: Perinatal asphyxia is a common problem with the incidence varying from 0.5 – 2% of live births. It an important cause neonatal mortality and frequent for admission to intensive care units (NICU). The aims this study were find out clinical biochemical alterations in different stages HIE. Materials Methods: This was prospective hospital based observational performed during period February, 2010 January, 2011. Results: Sixty inborn neonates satisfying criteria birth requiring...
Key Clinical Message Pleural effusion is rare during neonatal period with an estimated prevalence of 0.06%. It may sometimes uncommonly be secondary to pulmonary sequestration. Besides common conditions like hydrops fetalis, congenital heart disease, chylothorax, chromosomal abnormalities; sequestration should also considered while evaluating the cause for pleural effusion.
INTRODUCTIONPleural effusion is an abnormal collection of fluid within pleural space usually resulting from excess production and or decreased lymphatic absorption. Pleural rare during neonatal period with the estimated prevalence 0.06%1. Neonatal may be due to antenatal congenital causes postnatal acquired causes. Antenatal hydrops fetalis, chylothorax, heart disease (CHD), chromosomal anomalies, pulmonary anomalies infection like herpes simplex viral (HSV) Paro virus infection. Postnatal...
Introduction: COVID-19 is a disease caused by novel coronavirus SARS-CoV-2 that led to global epidemic resulting in significant morbidity across all ages. This study intended find out the clinical presentation of children and compare them among different age categories children. Method: retrospective done over period one year COVID facility Patan hospital. Demographic profile who were tested positive polymerase chain reaction (PCR) recorded. The data was compiled Microsoft Excel 2021...
Introduction: Rebound hyperbilirubinemia is defined as a total serum bilirubin (TSB) value sent following stopping of phototherapy that requires reinstitution phototherapy. Identification the risk factors for rebound facilitates early discharge newborns without factors. Method: This was hospital based prospective observational study conducted in tertiary care centre Nepal and included 71 born ≥35 weeks gestational age requiring neonatal jaundice between October 2019 to 2020. Following...
Nepal is one of the countries which has been hit hard by COVID-19 pandemic and resulted in high morbidity mortality across all age groups including neonates. There a paucity studies regarding maternal to neonatal transmission published also have poor sample size reach any definite conclusion. Hence this study was carried out see clinical profiles neonates born mothers.It descriptive cross-sectional study. The conducted at tertiary care centre over period year from April 2020 March 2021 after...
Introduction: Decreasing the neonatal mortality has been a major concern to decrease under five rate. Low birth weight (LBW) and prematurity related deaths account significant percentage of all worldwide. Causes in LBW babies are not well documented. Hence this study aims determine causes among at Patan Hospital, Nepal. Method: It was retrospective observational done Department Paediatrics, Lalitpur, The period three years from April 2017 March 2020. All born within were included. Perinatal...
Introduction: Delayed cord clamping (DCC) is defined as the delay in of umbilical for more than 60 seconds or when pulsations have stopped. It has numerous benefits to infants like increased circulating volume, hemoglobin / haematocrit levels, elevated iron stores, and decreased need red blood cell transfusions. Despite evidence-based recommendation, delayed not practiced routine some medical settings. Methods: This quality improvement project (QI Project) was conducted implement one...
Introduction: Paediatric surgical cases has been operated by general surgeon due to lack of paediatric surgeons. Complex in neonates and infants is being referred other centres with services. This study aims compare the spectrum their outcome before after availability surgeon.
 Method: Retrospective conducted at Patan Academy Health Sciences over a period 4 years. Group 1 included surgeries during 1st 2 y 2nd surgeon. Ethical approval was obtained. Patient age, sex, diagnosis, operative...
Introduction: Surfactant is an important treatment modality in preterm babies with respiratory distress syndrome leading to decrease mortality, morbidity and cost of treatment. Experiences on surfactant therapy Nepal are scarce. This study was conceptualised find the use immediate outcome a tertiary care hospital Nepal. Methods: A cross-sectional done who received over period five years at neonatal / pediatric intensive unit Patan Hospital, Lalitpur, After approval from Institutional review...
Introduction: Neonatal sepsis is one of the leading causes mortality worldwide. Knowing association thrombocytopenia to specific organism can help choose correct antibiotic before a culture sensitivity report becomes available. Hence, this study was planned find out if associated with any type in neonatal and higher mortality. Method: It retrospective observational done at intensive care unit Patan Hospital. The samples were taken over three years, from April 2018 March 2021. All...