This study was conducted with an objective to analyze prevalence and risk factors associated co-infection of hepatitis B virus (HBV) C (HCV) in HIV-positive patients reference their CD4+ T cell status.HIV-positive visiting the HIV clinic for cells testing at B.P. Koirala Institute Health Sciences were tested Hepatitis C. Data regarding age, gender, mode transmission, duration diagnosis, antiretroviral therapy status, duration, or count collected via face-to-face interview, hospital records....

To estimate the prevalence of chronic kidney disease (CKD) among patients with type 2 diabetes mellitus (T2DM) and determine sociodemographic clinical risk factors associated CKD.Cross-sectional study diabetic outpatients a tertiary hospital in Nepal.201 T2DM above 18 years age.Participants completed questionnaire regarding their socioeconomic information underwent pertinent physical haematological examinations.The CKD T2DM.The was 86.6%. In univariable analysis, variables like age...

Iron deficiency anemia remains a significant public health concern, particularly among pregnant women and children. The prevalence of is higher in lower middle income countries including Nepal. Despite government efforts, progress reducing the last 15 years has been slow, especially remote hilly regions. While investing control can yield substantial economic returns, there have not adequate studies to cover diverse geographical areas This study aims determine district western A retrospective...

Coronavirus disease 2019 (COVID-19) is a major public health problem causing significant morbidity and mortality worldwide. Apart from respiratory symptoms, gastrointestinal symptoms like nausea, vomiting, diarrhea, abdominal discomfort are quite common among COVID-19 patients. The tract can be potential site for virus replication feces source of transmission. Thus, ignorance enteric hinder effective control. objective this study to see the manifestation its effect on mortality.This...

We report a case of accidental Emamectin Benzoate poisoning in six-year-old child resulting nausea, vomiting, abdominal pain, and confusion. did vigorous gastric lavage with saline, activated charcoal, coconut oil. The other supportive treatment improved the outcome patient complete resolution symptoms.

Introduction The study aimed at exploring the adverse events following immunization (AEFI) and their incidences among health workers in three different districts of central western Nepal first dose Covishield vaccine,. It also studying association AEFI with demographic clinical characteristics vaccinees, pre-vaccination anxiety level prior history COVID-19 infection (RT- PCR confirmed) status. Materials methods This was a cross-sectional carried out via face-to-face or telephonic interview...

There is limited literature of objective assessments foramina skull base using computed tomography (CT) scan. This study was carried out to analyze the dimensions foramen ovale (FO), spinosum (FS), and rotundum (FR) CT scan imaging human their associations with sex, age, laterality body.A cross-sectional in Department Radiodiagnosis Imaging at BP Koirala Institute Health Sciences (BPKIHS), Nepal a purposive sampling method. We included 96 adult patients (≥18 years) who underwent head for any...

Background: Hypertension, a key determinant of cardiovascular disease, is one the major public health burdens worldwide. Family history known nonmodifiable risk factor for hypertension. This study aims to identify family hypertension in terms its prevalence and association with various factors. Methods: A descriptive cross-sectional was conducted among 423 hypertensive patients visiting general outpatient department Shree Birendra Hospital using simple random sampling method. The data were...

Hyperuricemia is common in chronic kidney disease patients. This study aimed to investigate the prevalence and clinical characteristics of hyperuricemia patients with undergoing haemodialysis.

We present a case of 31-year-old male who presented to the emergency department with history abdominal pain localized lower abdomen. The patient had undergone splenectomy 2 years ago for splenic injury following road traffic accident. Computerized tomography showed multiple well-defined, homogeneously enhancing soft tissue density nodules varying sizes distributed throughout abdomen and pelvis. A diagnosis splenosis was made based on imaging findings history. Abdominal is an uncommon entity...

Poland's syndrome is a rare congenital anomaly consisting of unilateral absence the pectoralis major, ipsilateral muscle, hand and occasionally associated other malformations chest wall breast.Many structural functional abnormalities have been described in association with this syndrome.We report an incidentally diagnosed case 27-year-old male patient who presented to us symbrachydactyly.In addition this, anterior depression 2nd, 3rd 4th ribs bifid (forked) 5th rib was present on...

Obesity has been reported to be linked with menstrual abnormalities including abnormality in cycle length, duration, and period blood loss. However, which anthropometric parameter is a better marker of yet unknown. This study aims explore the association BMI, waist-hip ratio (WHR), waist-height (WHtR) abnormalities.This was cross-sectional conducted among 240 nursing students on two campuses Nepal. Demographic characteristics related data were collected from participants via face-to-face...

Ewing sarcoma (ES), the second most common malignant bone tumor after osteosarcoma in decade, occurs 0.9% of cases as primary non-sacral form.A 20-years-old male presented with acute paraparesis bilateral lower limb and numbness following initial back pain for last 6 months. Magnetic resonance imaging (MRI) lumbar spine revealed a 4 cm enhancing soft tissue mass at L4/L5 vertebra extending into spinal canal compression thecal sac. The computed tomography (CT) chest, abdomen, pelvis...

There are limited literatures studying the pancreatic involvement in organophosphate (OP) poisoning using biochemical means. This study focused on assessing type of OP and determining association serum amylase levels with patient's presentation outcome.A cross-sectional was carried out Maharajgunj Medical Campus, Tribhuwan University Teaching Hospital, Kathmandu, Nepal, after ethical approval [Ref: IRB/308 (6-11-E)]. We collected data from 172 participants over period 2 years nonprobability...

Inappropriate antimicrobial use leading to resistance is a matter of public health concern globally. This research was conducted with the objective preventing misuse across knowledge, behavior, and practice domains among general people Nepal.It cross-sectional survey 385 participants visiting tertiary care center from all over Nepal February 2022 May 2022. Modified Bloom's cut-off point utilized categorize participants' overall practice. The chi-square (χ2) test odds ratio (OR) using binary...

Introduction: While proteinuria aggravates dyslipidemia in diabetic patients, further worsens via inflammatory cytokines-mediated glomerular damage. Urinary albumin creatinine ratio (ACR) is an easy and reliable method of detecting proteinuria. This study aims to determine the association ACR with lipid abnormalities glycemic control Nepalese population. Methods: was a cross-sectional conducted among 201 diabetes patients visiting outpatient department internal medicine. Based on values,...

This study was conducted with the objective to analyze out-of-pocket (OOP) healthcare expenditure and catastrophic (CHE) on chronic non-communicable diseases (CNCD) among elderly population, association of CHE CNCD associated factors same population.We collected data from population Dharan Sub-metropolitan city Eastern Nepal via door-to-door survey face-to-face interview. The ten wards out twenty were chosen by lottery method, equal proportion 280 samples purposively each (28 participants...

Background: The misuse of antibiotics in low- and middle-income countries is getting escalated leading to the emergence antimicrobial resistance. This study aims evaluate knowledge, behavior, practice among Pakistani population for implementation an effective stewardship plan that ensures rational use medicines. Methods: It was a nationwide cross-sectional survey conducted 1011 participants Pakistan from March 2022 August 2022. Statistical analysis done through SPSS v21. original Bloom’s...

COVID-19 pandemic has triggered psychological stress such as anxiety and depression among people around the globe. Due to nature of job, healthcare professionals (HCPs) are at high risk infection facing social stigma well. This research was conducted with objective evaluate influence HCPs in Yemen coping strategies adopted thereof. A web-based, well face-to-face cross-sectional study carried out from July December 2021 Yemen. The generalized disorder (GAD-7), patient health questionnaire...

We report a case of concurrent ingestion Clonazepam and Amlodipine in 25-year-old man, second attempt to take his life, which resulted unconsciousness, hypotension, hypokalemia. The clinical and/or biochemical presentation varied from the individual pattern when ingested. In scarcity consensus recommendations, supportive treatment helped.

Introduction: The diagnosis of COVID-19 infection was time-consuming and costly, contributing to rampant transmission, particularly in developing countries like Nepal. This study aimed compare the diagnostic performance two rapid antigen tests (RDTs, PanBio Standard Q) against real-time reverse transcriptase PCR (rRT-PCR). Methods: retrospective cross-sectional conducted among 1171 suspected patients at a provincial hospital Each participant provided nasopharyngeal swabs, one for RDT other...

Background: Billions of doses COVID-19 vaccine have been introducing in the world to prevent pandemic COVID-19. Higher efficacy but limited data are available for its longevity. We aimed find out IgG Anti-SARS Cov-2 antibody level among frontline healthcare workers after two vaccines.Methods: A cross-sectional study was carried 170 HCPs Seti Provincial Hospital western Nepal, who were more than 18 years, and had taken either one COVID 19 vaccine. All those participants, on leave during...

Background : Sickle cell anemia is the most common hemoglobinopathy in world. The study aimed to evaluate iron profile and its association with socio-demographic characteristics patients sickle disease.Methods: A hospital-based descriptive cross-sectional was conducted know disease.Results: average serum iron, TIBC, transferrin saturation were 16.75 ± 6.40 mcgMole/L, 69.46 16.94 mcg/dl 25.15 12.51% respectively. ferritin ranged from 10.00 3000.00 ng/ml. proportion of participants normal...

Introduction: Urolithiasis, a frequent urologic issue, often relies on computed tomography (CT) scans, the preferred imaging technique. However, in low-income countries like Nepal, access to CT scans is limited. The authors’ study focused comparing ultrasound (US) and for assessing ureteric calculi patients with acute flank pain examined factors influencing US detection rates these patients. Methods: authors conducted cross-sectional using purposive sampling, involving 87 participants who...