A5077461898- Pharmaceutical Practices and Patient Outcomes
- Acute Ischemic Stroke Management
- Health Systems, Economic Evaluations, Quality of Life
- Inhalation and Respiratory Drug Delivery
- Antibiotic Use and Resistance
- Palliative Care and End-of-Life Issues
- Cerebrospinal fluid and hydrocephalus
- Stroke Rehabilitation and Recovery
- Medication Adherence and Compliance
- Intracerebral and Subarachnoid Hemorrhage Research
- Blood Pressure and Hypertension Studies
- Pharmaceutical Economics and Policy
- Glioma Diagnosis and Treatment
- Head and Neck Surgical Oncology
- Meningioma and schwannoma management
- Neurological Disorders and Treatments
- Diabetes Management and Research
- Venous Thromboembolism Diagnosis and Management
- Ophthalmology and Eye Disorders
- Respiratory and Cough-Related Research
- Pharmaceutical studies and practices
- Geriatric Care and Nursing Homes
- Traumatic Brain Injury and Neurovascular Disturbances
- Patient Safety and Medication Errors
- Neurofibromatosis and Schwannoma Cases
The University of Queensland
2019-2025
Baidya and Banskota Hospital
2024
Annapurna Neurological Institute and Allied Sciences
2015-2024
Shree Medical and Technical College
1970-2022
College of Medical Sciences
2020-2022
Universal College of Medical Sciences
2022
Chitwan Medical College
1970-2020
KIST Medical College
2017-2018
Patan Hospital
2008
Abstract Introduction Clinical practice guidelines recommend against the routine use of psychotropic medications in residential aged care facilities (RACFs). Knowledge brokers are individuals or groups who facilitate transfer knowledge into practice. The objective this trial is to evaluate effectiveness and cost-effectiveness using translate Australia’s new Practice Guidelines for Appropriate Use Psychotropic Medications People Living with Dementia Residential Aged Care. Methods analysis...
Abstract Objectives Accumulating evidence about psychotropic medication‐related adverse events has had minimal apparent impact on overall rates of medication use across Australian residential aged care facilities (RACFs). Australia's new Clinical Practice Guidelines for the Appropriate Use Psychotropic Medications in People Living with Dementia and Residential Aged Care were released April 2023. This study aimed to identify contextual factors inform strategies implement RACFs. Methods A...
Key Clinical Message Diastematomyelia, tethered cord, intradural extramedullary dermoid tumor and lipomyelomeningocele such disease entities themselves are rare in their own form concurrent presentation of all those pathological states a single individual can be considered one the rarest forms spinal dysraphism globally. Moreover for prompt management with optimal prognosis needs refined neurosurgical intervention guided by intraoperative neuromonitoring so as to bring about best quality...
Introduction . Proper insulin injection practice is essential for better diabetic control. This study aims to assess the of patients with diabetes. Materials and Methods A cross-sectional was conducted at Chitwan Medical College Teaching Hospital, Bharatpur, Nepal, from February 2017 May 2017. Patients injecting through pens (<mml:math xmlns:mml="http://www.w3.org/1998/Math/MathML" id="M1"><mml:mi>n</mml:mi><mml:mo>=</mml:mo><mml:mn>43</mml:mn></mml:math>) a minimum 4 weeks were...
Introduction: Older adults continue to receive potentially inappropriate medications necessitating the need for medication optimization, by deprescribing. To ensure a holistic approach deprescribing, it is essential understand perception of older towards This study aimed assess attitude ambulatory patients deprescribing and identify factors predicting their willingness deprescribe. Methods: A cross-sectional survey was conducted in central Nepal between March September 2019 among 385 care...
Background: The combined medications practice of using antithrombotic agents and statins with or without antihypertensive is common in the treatment acute ischemic stroke Nepal. Short-term outcomes current have been studied. We aim to explore predictors at 3 months, practice. Methods: study population (N=56) included patients treated Neurology Department College Medical Sciences-Teaching Hospital, Chitwan, Nepal, from May 2014 August followed up months. Death disability (modified Rankin...
Baseline stroke knowledge in a targeted population is indispensable to promote the effective education. We report baseline knowledge, attitude, and practice (KAP) of high school students with respect from Nepal.A self-structured questionnaire survey regarding KAP about was conducted 33 schools Bharatpur, Nepal. Descriptive statistics including Chi-square test used, significant variables were subjected binary logistic regression.Among 1360 participants, 71.1% had heard or read stroke; 30.2%...
The majority of patients with asthma and chronic obstructive pulmonary disease (COPD) have been known to perform inhaler technique inadequately. We aimed evaluate the benefit hospital pharmacy intervention on current status dry powder (Rotahaler®) in such factors associated correct use.A pre-post interventional study was conducted at outpatient a teaching Central Development Region, Nepal, COPD currently using Rotahaler device. Patients' demographics were assessed before intervention. Those...
Introduction . Epilepsy continues to increase worldwide but, unfortunately, many high school students have inadequate knowledge of and negative beliefs towards the disease. We aimed assess knowledge, beliefs, practices epilepsy among Central Nepal. Materials Methods A cross-sectional study was performed involving 1360 from 33 private schools across Bharatpur, June 2013 July 2013, their (KBP) on using a standardized questionnaire. The differences in mean KBP scores between different sexes,...
Introduction. This study aimed to explore the predictors of mortality from scrub typhus infection in patients requiring intensive care unit (ICU) admission. Materials and Methods. A retrospective was conducted on 120 with serum ELISA IgM positive for (optical density ≥ 0.5) admitted at medical ICU Chitwan Medical College Teaching Hospital between April 2016 September 2017. Data extracted patient records electronic database hospital. The outcome measurement (Yes/No) due infection....
Introduction: Hypertension is growing among the population of Nepal. We aimed to determine current knowledge, attitude and practice hypertension hypertensive patients taking antihypertensive medication in community Central Nepal.Methods: A cross-sectional study was conducted Bharatpur, Chitwan, Nepal from July 2015 September using clustered sampling technique. Suitably designed validated questionnaire on consisting 27 questions were used KAP scores. The difference median scores between sex,...
Prescribing errors are harmful to the patients. The role of pharmacist in reducing potential harm from prescription have been highlighted by several studies. This study aimed evaluate drug related error and intervention at outpatient pharmacy Chitwan Medical College Teaching Hospital. A cross-sectional was conducted Pharmacy Hospital November 2014 December 2014. randomly selected 5000 checked for using checklist. discussed with prescriber. prescriptions that were corrected prescribers...
Introduction and Importance: Intracerebral hemorrhage (ICH)secondary to use of anti-coagulants is one the fearsome complications. Hemorrhage within intracranial space due such results in expansion bleeding despite reversal anti-coagulants. Hence timely surgical intervention can be lifesaving. Case Summary: An elderly female who was undergoing management for her deranged coagulation parameters found a state features suggestive stroke. Patient on regular medication cardiology issues. CT scan...
<ns4:p><ns4:italic>Background:</ns4:italic> Renal impairment is regularly seen in hospitalized stroke patients, affecting the outcome of as well causing difficulties their management. A prospective cohort study was conducted to assess trend renal function ischemic and haemorrhagic patients. The incidence these subgroups, contributing factors need for replacement impaired patients evaluated.</ns4:p><ns4:p> <ns4:italic>Methods:</ns4:italic> Alternate day testing performed Estimated glomerular...
Meeting participants' needs and matching their preferences are important prerequisites for an effective Continuing Pharmacy Education (CPE) program. The objective of this pilot study was to assess the opinion hospital pharmacy practitioners with respect CPE program.The pretested questionnaires were distributed 20 working in a at tertiary care Nepal which asked opinions suggestions Descriptive statistics performed using IBM SPSS version 20.Topics related skills development (75%) recent...
<ns4:p><ns4:italic>Background:</ns4:italic> Renal impairment is regularly seen in hospitalized stroke patients, affecting the outcome of as well causing difficulties their management. A prospective cohort study was conducted to assess trend renal function ischemic and haemorrhagic patients. The incidence these subgroups, contributing factors need for replacement impaired patients evaluated.</ns4:p><ns4:p> <ns4:italic>Methods:</ns4:italic> Alternate day testing performed Estimated glomerular...
Sound knowledge and good practice on insulin injection technique are essential for nurses in order to administer correctly educate patients or their relatives adequately. This study aimed assess the through use of pen among working a tertiary healthcare center Nepal. A cross-sectional descriptive was conducted 67 one centers Demographic information were assessed using self-administered questionnaire. Each correct scored "1" incorrect "0." Results. The median (IQR) score 11 (9-12) out 16....