A5028435712- Cardiovascular Disease and Adiposity
- COVID-19 Clinical Research Studies
- Acute Myocardial Infarction Research
- Infective Endocarditis Diagnosis and Management
- Acute Kidney Injury Research
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Cardiovascular Function and Risk Factors
- COVID-19 and Mental Health
- Neuroendocrine Tumor Research Advances
- Cardiovascular Syncope and Autonomic Disorders
- Dialysis and Renal Disease Management
- Simulation-Based Education in Healthcare
- Adipokines, Inflammation, and Metabolic Diseases
- SARS-CoV-2 and COVID-19 Research
- Pericarditis and Cardiac Tamponade
- Methemoglobinemia and Tumor Lysis Syndrome
- Pulmonary Hypertension Research and Treatments
- Neonatal Health and Biochemistry
- Aortic Disease and Treatment Approaches
- Magnetic and transport properties of perovskites and related materials
- COVID-19 and healthcare impacts
- Potassium and Related Disorders
- Global Health and Epidemiology
- Disaster Response and Management
- Travel-related health issues
Nepalese Army Institute of Health Services
2016-2025
Bir Hospital
2020-2023
National Academy of Medical Sciences
2020
Marymount University
2018
and Importance: Aluminum phosphide (ALP) is a commonly available pesticide in agricultural countries like Nepal. Upon ingestion, this releases highly toxic phosphine gas the gastrointestinal tract when it comes contact with humidity. This leads to refractory shock, metabolic acidosis, cardiac arrhythmia, renal failure, hepato-biliary impairment.We present successfully managed case of 17-year-old girl who ingested 6 g (2 tablets) ALP tablets suicidal intent. Although mortality has been...
Medical students, being more familiar with medical situations, can play a vital role as volunteers during crises like mass casualty emergencies and epidemics. This study was conducted to know the willingness of nursing students volunteer coronavirus disease-19 (COVID-19) pandemic. cross-sectional among undergraduate college in Kathmandu. A proportionate stratified random sampling technique used. pretested, self-administered questionnaire emailed participants data were collected from 8th July...
Background and Aims: Incidence of ST-elevation myocardial infarction (STEMI) is increasing in Nepal. We aim to describe the presentation, management, complications, outcomes patients admitted with a diagnosis STEMI Shahid Gangalal National Heart Centre (SGNHC), Nepal.
 Methods: Centre-ST-elevation registry (SGNHC-STEMI) was cross sectional, observational, registry. All who were from January 2018 December included.
 Results: In this registry, 1460 out 1486 attended emergency...
Anomalous origin of the left coronary artery from pulmonary (ALCAPA) is a rare congenital anomaly. While only few those born with this anomaly survive into adulthood, it becomes an extremely diagnosis in adults.
Introduction: Students in the preclinical phase have adequate clinical exposure to normal physiological findings of examinations performed healthy peers but do not pathological other than theoretical knowledge, which is challenging for students during curricula examining actual patients. Simulation based medical education (SBME) has recently emerged address this gap. This study aimed assess performance and confidence level simulation examination respiratory system undergraduate a college....
Introduction: Chronic Obstructive Pulmonary Disease (COPD) is parenchymal lung disease with systemic effects and hemodynamic alteration more so in pulmonary circulation. In COPD, right ventricular (RV) after load increases due to structural mechanical changes the vascular bed leading increase arterial pressure which also leads structure function of RV. congestive cardiac failure dysfunction may coexist demands proper assessment management dual condition.Objectives: This study was aimed...
Background and Aims: Diabetic patients are at increased risk of developing coronary artery disease. This study was conducted with the aim to compare extent severity disease in without diabetes presenting non ST segment elevation myocardial infarction (NSTEMI).
 Methods: a single center, hospital based, cross sectional, observational comparative which total 172 NSTEMI were divided into two groups 86 each based on presence or absence mellitus. Demographic, laboratory angiographic data...
Background and Aims: Worldwide many patients are receiving intravascular contrast media (CM) during interventional procedures. Contrast used to enhance visualization guide percutaneous coronary interventions (PCI).1 However, the use of CM also carries risk complications it is important be aware these complications. Complications with range from mild symptoms life-threatening conditions like anaphylaxis, hypotension renal dysfunction contrast-induced nephropathy (CIN) one them which can have...
Introduction: Chest computed tomography (CT) is used for the screening and diagnosis of COVID-19 pneumonia. The aim study to prevalence residual lung parenchymal CT changes in patients its association with common predictors. Methods: Longitudinal conducted at Shree Birendra Hospital which diagnosed initial scan showing related were retrospectively enrolled after ethics approval. period was from 15 February 2020 November 2021. evaluated severity score (CT SS) assigned. Data entered Microsoft...
Carbon monoxide (CO) is one of the leading causes accidental poisonings. Mild poisoning produce symptoms like headaches, vertigo and flu effects, whereas larger exposures can lead to significant toxicity central nervous system (CNS) including death. High index suspicion thus necessary specially while evaluating collection such cases in winter months with a careful history taking. Here, we are reporting case suspected CO diagnosed on basis history, response supportive treatment, exclusion...
Acute purulent pericarditis, although rare in modern antibiotic era, is a life-threatening condition requiring timely diagnosis and aggressive treatment modalities. We report successfully treated previously healthy immunocompetent 23 years old male patient diagnosed as secondary acute pericarditis caused by methicillin sensitive Staphylococcus aureus with primary skin abscess. The initially presented complains of fever, chest pain occasional cough no significant finding clinical examination....
Introduction: Echocardiography is noninvasive procedure to assess heart. Ventricular mass increases due left ventricular hypertrophy and performance of ventricle decreases with increase in blood pressure. Left ventricular diastolic dysfunction (LVDD) early sign heart weakness which can be picked up Echo. This study was aimed cardiac anatomic functional parametric alteration echocardiography among hypertensive patients. 
 Methods: a non-invasive, cross sectional hospital based...
Background and Aims: ACEF score is simple risk which uses only three parameters for predicting mortality postcontrast acute kidney injury (PC-AKI). This study was designed to look into various factors patients undergoing Percutaneous Coronary Intervention (PCI).
 Methods: single-centre, observational, cross-sectional study. The were divided tertiles.Bivariate analysis of done PC-AKI as well In-hospital 30-day mortality.
 Results: Total 257 included.The total among PCI low: (0.8%)...
Background and Aims: Among the various biomarkers, high sensitivity C-Reactive Protein (hs-CRP) has been widely studied is easy to use in prognostication of patients with acute ST elevation myocardial infarction (STEMI). This study aimed associate serum level hs-CRP in-hospital mortality presented STEMI.
 Methods: was a hospital-based prospective observational conducted Shahid Gangalal National Heart Centre among emergency department chest pain less than 24 hours duration, who were...
Chickenpox is an acute, highly infectious disease. Outbreaks can occur in adults closed institutional settings like hostels and barracks. This study aims to report varicella zoster outbreak among male military personnel a training centre.An investigation of chickenpox school tertiary hospital was conducted. Ethical approval taken from the Institutional Review Committee (Reference number: 267). Data collected February 5, 2020 April 10, by questionnaire clinical examination. Case definitions...
Carotid sinus hypersensitivity is one of the unexplained causes syncope in old age. There are variations presentations carotid hypersensitivity. A 56-year-old male, known case coronary artery disease, presenting with syncope, was diagnosed as finally. He treated placement dual chamber pacemaker. The etiology itself a challenging for clinicians. In presence risk factor, it uncommon to be present cause syncope. Hence, rare disorder like should also considered despite co-morbidity disease.