- Neonatal Respiratory Health Research
- Neonatal and fetal brain pathology
- Infant Development and Preterm Care
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Adolescent Sexual and Reproductive Health
- Iron Metabolism and Disorders
- Health and Lifestyle Studies
- Neonatal and Maternal Infections
- Thyroid Disorders and Treatments
- Diabetes Management and Research
- Gout, Hyperuricemia, Uric Acid
- COVID-19 and healthcare impacts
- COVID-19 Clinical Research Studies
- Vitamin C and Antioxidants Research
- Blood transfusion and management
- Cardiovascular Disease and Adiposity
- Vitamin D Research Studies
- Congenital Heart Disease Studies
- Public Health and Social Inequalities
- Global Health and Epidemiology
- Fetal and Pediatric Neurological Disorders
- Neonatal Health and Biochemistry
- Clinical Laboratory Practices and Quality Control
- Social and Economic Development in India
- COVID-19 epidemiological studies
Karnali Academy of Health Sciences
2023
Chitwan Medical College
2006-2020
College of Medical Sciences
2006-2020
University College London
1999
Institute of Child Health
1996
University of London
1996
To determine the outcome at 1 year of neonatal encephalopathy (NE) and to estimate possible contribution birth asphyxia childhood disability in a low-income South Asian country, prospective cohort study was undertaken principal maternity hospital Kathmandu, where over 50% local women give birth. From total population 21609 live births, 131 term infants with NE (after exclusion cases associated sepsis, congenital malformations, or primary hypoglycaemia) 208 control were recruited. Of these,...
AIMS: To describe the pattern of hypothermia and cold stress after delivery among a normal neonatal population in Nepal; to provide practical advice for improving thermal care resource limited maternity hospital. METHODS: The principal government funded hospital Kathmandu, Nepal, with an annual rate 15,000 (constituting 40% all Kathmandu Valley deliveries), severe limitations (annual budget Pounds 250,000), winter climate provided setting. Thirty five healthy term neonates not requiring...
AIMS: To compare two cotside methods of blood glucose measurement (HemoCue and Reflolux II) against a standard laboratory method for the detection neonatal hypoglycaemia in developing country maternity hospital where is common. METHODS: 94 newborn infants 75 their mothers had assessed on same venous sample using three different Special Care Baby Unit postnatal wards, Prasuti Griha Maternity Hospital, Kathmandu, Nepal: HemoCue II at cotside; Roche Ultimate oxidase (GOM) laboratory. RESULTS:...
We assessed the sensitivity, specificity and likelihood ratio of a low cost liquid crystal strip thermometer (LCT) compared with axillary mercury thermometry for detection neonatal hypothermia in Nepal. The subjects were 76 healthy newborns government maternity hospital Kathmandu, Nepal winter. validity LCT (less than 36°C) showed sensitivity 83 per cent, 96 positive predictive value 98 cent 23. Use on this setting raises measured pretest probability first day 63 to post-test 97 cent. Liquid...
To determine the outcome at 1 year of neonatal encephalopathy (NE) and to estimate possible contribution birth asphyxia childhood disability in a low‐income South Asian country, prospective cohort study was undertaken principal maternity hospital Kathmandu, where over 50% local women give birth. From total population 21 609 live births, 131 term infants with NE (after exclusion cases associated sepsis, congenital malformations, or primary hypoglycaemia) 208 control were recruited. Of these,...
INTRODUCTION: Many studies have shown the association of waist circumference, hip ratio and body mass index with type 2 diabetes mellitus. Waist circumference been used as measures central obesity has a measure general obesity. Objective this study is to find out which better for prediction risk mellitus.
 MATERIAL AND METHODS:Total 100 participants confirmed diagnosis DM age group 35-80 years were selected study. Anthropometric measurements like height, weight, (WC) measured (BMI)...
A cross sectional study was conducted among the adolescent students of 12 randomly selected higher secondary school Chitwan district, Nepal with an objective to assess awareness by studying their knowledge and attitude towards disease. It is really very gratifying note that 100.0% respondents had heard about disease majority them (95.0% ) correct causative agents. Among quite large number (79.0%) knew high risk age group 81.0% were aware safe sex as one major preventive measure. The AIDS...
Background: As documented by a large body of evidences, Hypovitaminosis D prevails both in the general and hospitalized populations. We conducted this study to determine prevalence hypovitaminosis amongst patients visiting tertiary care hospital compare rate gender-wise, across different categories socio-demographic variables. Methods: It was cross-sectional (retrospective chart review) based on registry at College Medical Sciences Teaching Hospital, Bharatpur, Chitwan, Nepal. From registry,...
Background: Malnutrition is one of the major public health problems in Nepal. The nutritional and morbidity status are indicators level quality life school children. Good adequate nutrition promote both physical growth learning. Methods: This study a cross sectional carried out during period August-September, 2006. population was children Nursery to class five. One Government selected at randomly Bharatpur. Results: 11.38% were below 80% weight for age i.e. under nutrition. According...
Background: The prevalence of anemia varies according to age, gender and ethnicity. Moreover, its occurrence in the significant proportions hospitalized patients is a matter concern for healthcare practitioners. Objective: objective study was determine relation gender, ethnicity assess relationships different erythrocyte indices with hemoglobin. Materials Methods: In hospital-based, cross-sectional study, hematological test results 485 were analyzed. Participants categorized age ethnicities...
Background: A cross-sectional study was conducted during September-October, 2004 among 255purposively selected woman of reproductive age group (15-44 years) in Bharatpur Municipality,Chitwan district. Material and Methods: Door to door survey informations were collected on astructured pre-tested proforma from 255 married women. Result: It found that 100% the respondents had heard about any one or other method offamily planning.All knowledge Condom. The majority them Oral Contraceptive Pills...
A cross sectional study was conducted among the adolescent students of 12 randomly selectedhigher secondary school Chitwan district, Nepal with an objective to assess awareness bystudying their knowledge and attitude towards disease. It is really very gratifying note that100.0% respondents had heard about disease majority them (95.0% ) correctknowledge causative agents. Among quite large number students(79.0%) knew high risk age group 81.0% were aware safe sex as one majorpreventive measure....
Background: Reference intervals of any biochemical analyte serve as an invaluable tool in clinical decision making. The IFCC (International Federation Clinical Chemistry) guidelines for determining these values are not feasible some hospital laboratory setting and have led to the development alternative approaches.Aims Objectives: To determine indirect reference serum thyrotropin form records individuals visiting a tertiary care center.Materials Methods: In hospital-record based,...
Background: Now a days Tuberculosis is major public health problem in the world. Number of deaths due to tuberculosis highest among infectious diseases. Methods: The cross sectional study was carried out from May 2008 July different patient departments College Medical Sciences Teaching Hospital. A total 500 patients belong age > 15 years who visited various Hospital were randomly selected for present study. Interview technique used collect information on pre-designed and pre-tested...
Background: Hyperuricemia, a pathologic consequence of over-production or under-excretion uric acid, is common biochemical picture in thyroid dysfunctions. This study was designed to determine the serum acid levels and prevalence rates hyperuricemia dysfunctions.
 Methods: A cross-sectional conducted at College Medical Sciences Teaching Hospital, Chitwan which Serum concentrations male female participants, 30 years older with diagnosis hypothyroidism hyperthyroidism were estimated....
Introduction COVID-19, a global health problem, was first identified in the Hubei province, China. While various clinical features of diseases have been documented, complete profile is yet to be understood. The purpose this study evaluate outcome Covid-19 after admission emergency KAHS during year 2021January – 2022 January. Methods This hospital-based, retrospective, observational done department Karnali Academy Health Sciences (KAHS), Jumla. data taken from registry, including record files...
Background: Neutrophil-to-lymphocyte ratio, a well-defined marker of immunity, is raised in many conditions which are characterized by abnormal inflammatory and immunological responses. Anemia chronic disease, the most prevalent type hospitalized patients, dominant clinical picture protracted stimulation immunity. This study aimed to assess neutrophil-to-lymphocyte ratio adult participants with anemia compare non-anemic participants. Methods: In cross-sectional conducted Department Clinical...
Background & Objectives: The various ABO and Rh blood groups with different distribution frequencies in the general population have been found to be associated diseases, most notably gastritis. Many studies claimed indifferent such association. Nonetheless, group is linked chronic aim of this study was estimate gastritis amongst first second year undergraduate medical dental students; their relationships. Materials Methods: In a descriptive, cross-sectional study, 247 participants were...
Background: Hyperuricemia, a pathologic consequence of over-production or under-excretion uric acid, is common biochemical picture in thyroid dysfunctions. This study was designed to determine the serum acid levels and prevalence rates hyperuricemia dysfunctions.
 Methods: A cross-sectional conducted at College Medical Sciences Teaching Hospital, Chitwan which Serum concentrations male female participants, 30 years older with diagnosis hypothyroidism hyperthyroidism were estimated....
Background: Obesity has been reported to be assessed both subjectively and objectively, with varying degrees of agreement. This study was conducted assess the discrepancy between subjective objective measures obesity amongst undergraduate medical dental students.
 Methods: A cross-sectional designed at College Medical Sciences Teaching Hospital, Nepal, from December 2019 January 2020. First second year undergraduate students were first asked report their height weight, which...
Background: Obesity has been reported to be assessed both subjectively and objectively, with varying degrees of agreement. This study was conducted assess the discrepancy between subjective objective measures obesity amongst undergraduate medical dental students. Methods: A cross-sectional designed at College Medical Sciences Teaching Hospital, Nepal, from December 2019 January 2020. First second year undergraduate students were first asked report their height weight, which subsequently...
Anaemia is one of the major health problems in Nepal. Nutritional anaemia oneof commonest forms and affects chiefly females reproductiveage group. The available data from hospital records small-scale studies putthe estimate to more than 50%. There are other figures that project range 60-75% among this present study was conducted on thereproductive age group visiting dispensary attached Nepalgunj Medical College,Chisapani. total number included 71. Nearly 65% wereless 30 years age. literacy...