- Hearing Impairment and Communication
- Vaccine Coverage and Hesitancy
- Complementary and Alternative Medicine Studies
- Global Health Workforce Issues
- HIV/AIDS Impact and Responses
- Global Maternal and Child Health
- Organ Donation and Transplantation
- Diabetes Management and Education
- Health Systems, Economic Evaluations, Quality of Life
- Traffic and Road Safety
- Emergency and Acute Care Studies
- Chronic Kidney Disease and Diabetes
- Temporomandibular Joint Disorders
- Respiratory Support and Mechanisms
- Intraoperative Neuromonitoring and Anesthetic Effects
- Poisoning and overdose treatments
- Dialysis and Renal Disease Management
- Plant-based Medicinal Research
- COVID-19 epidemiological studies
- Long-Term Effects of COVID-19
- Interpreting and Communication in Healthcare
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Pneumonia and Respiratory Infections
- Oropharyngeal Anatomy and Pathologies
- Healthcare cost, quality, practices
Medical College of Wisconsin
1994-2025
Froedtert Hospital
2021
Patan Academy of Health Sciences
2014-2018
Patan Hospital
2015-2016
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...
Camphor is usually used in the USA to repel insects, but it widely other countries as an herb. We report case of a 52-year-old previously healthy Nepali man who ingested approximately 10 g pure camphor with therapeutic intention. He developed grand mal seizures, and was evaluated emergency room. failed recall ingestion initially, treated phenytoin for new-onset idiopathic seizures. Examining physicians only later found out about his ingestion. Finding cause seizures often challenging room...
Welcome to Annals of Global Health,Annals Health is a peer-reviewed, fully open access, online journal dedicated publishing high quality articles all aspects global health. The journal's mission advance health, promote research, and foster the prevention treatment disease worldwide. Its goals are improve health well-being people, equity, wise stewardship earth's environment. latest impact factor 3.64.Annals supported by Program for Public Common Good at Boston College. It was founded in 1934...
Streptococcus pneumoniae infection is associated with high morbidity and mortality in low income countries. In Nepal, there a lung disease burden incidence of pneumonia due to multiple factors including indoor air pollution, dust exposure, recurrent infections, cigarette smoking. Despite the ready availability effective pneumococcal vaccines (PNV), vaccine coverage rates remain suboptimal globally. Quality Improvement (QI) principles could be applied improve compliance, but it virtually new...
Motor vehicle injuries are a major harmful side effect of industrialization. We examine this relationship in rapidly industrializing country, Taiwan, using Potential Productive Years Life Lost (PPYLL) analysis, and suggest ways that the injury toll industrialization might be mitigated. also compare Taiwan to US, Hungary, Korea, Chile. has higher PPYLL per 100,000 population due motor (530/100,000) than cardiac disease, cancer, or strokes. Twenty-five years ago, more was strokes, tuberculosis...
The surge in diabetes cases affecting 3.6 million individuals Nigeria demands a proactive response. Despite the high prevalence, current Nigerian model is reactive leading to delayed treatment, heightened complications, elevated healthcare expenses, and diminished quality of life. This document proposes solution integrating culturally adapted Diabetes Self-Management Education Support (DSMES) programs into health policy as standard practice. Additionally, it recommends establishing educator...
Purpose: Acute care of patients with exacerbation chronic obstructive pulmonary disease (AECOPD) in the emergency department (ED) is crucial, however not studied extensively Nepal.The purpose this study to identify opportunities for succinct measures optimize AECOPD ED a multifaceted bundle approach resource-limited setting.Methods: We conducted prospective cross-sectional observational as an initial baseline stage quality improvement project.Demographic data, clinical characteristics,...
By early 2020, the novel SARS-CoV-2 virus (COVID-19) was spreading rapidly worldwide, and its effects proved devastating. In many critically ill patients afflicted with COVID-19, treatment often involves prolonged periods of proning that, along other interventions, can lead to improved oxygenation. However, sustaining this position predisposed increased complications. We present a case an older patient respiratory failure secondary COVID-19 who developed forming facial knee wounds brachial...
The World Health Organization estimates there are 59 million health care workers worldwide.Many of them have non-clinical responsibilities as managers and policy-makers, but lack opportunities to develop showcase the necessary skills.Formal programs such an MBA or MPH often expensive inaccessible, while informal recognition is difficult validate potential employers donors.Taking inspiration from competencybased credentialing in education, architecture, other industries, at Global Delivery...
<ns4:p>This article was migrated. The not marked as recommended. Doctors in training are often challenged by clinical cases which don't seem to make sense. In describing pain episodes, patients will sometimes use hand gestures part of their communication. Hand more likely used settings when words hard find, spatial representation is important, where there language difficulties, and it the most important thing patient says. perhaps for learner observe they discordant with what saying.When...