A5003617378- Diabetes, Cardiovascular Risks, and Lipoproteins
- Liver Disease Diagnosis and Treatment
- Rabies epidemiology and control
- Venomous Animal Envenomation and Studies
- Global Public Health Policies and Epidemiology
- Hepatitis B Virus Studies
- Hepatitis C virus research
- Vitamin C and Antioxidants Research
- HIV Research and Treatment
- Diet, Metabolism, and Disease
- Diet and metabolism studies
- HIV, Drug Use, Sexual Risk
- Infectious Encephalopathies and Encephalitis
- Immune responses and vaccinations
- Streptococcal Infections and Treatments
- Vaccine Coverage and Hesitancy
- Long-Term Effects of COVID-19
- Nutritional Studies and Diet
- Nutrition and Health in Aging
- Liver Disease and Transplantation
- Alcoholism and Thiamine Deficiency
- HIV/AIDS Research and Interventions
- Diabetes Treatment and Management
- Pharmacological Effects and Toxicity Studies
- COVID-19 Clinical Research Studies
Khesar Gyalpo University of Medical Sciences of Bhutan
2020-2025
Royal University of Bhutan
2020-2025
Pokhara University
2024
Centre for Bhutan Studies and GNH Research
2015-2024
All India Institute of Medical Sciences
2023
Royal Centre for Disease Control
2023
Creative Commons
2023
Abstract: Diabetes and obesity are both increasing at a fast pace giving rise to new epidemic called diabesity. Lifestyle interventions including diet play major role in the treatment of diabetes, There many guidelines on dietary management diabetes or globally also from South Asia. However, there no global Asian non-pharmacological Asia differs rest world as Asians have different phenotype, cooking practices, food resources exposure, medical nutrition therapy (MNT) availability trained...
The initial cases of novel coronavirus disease-19 (COVID-19) in a country are utmost importance given their impact on healthcare providers, the country's preparedness response, and molding public perception toward this pandemic. In Bhutan, index case was 76-year-old immunocompromised man who had traveled from United States entered Bhutan as tourist. He presented initially with vague gastrointerestinal symptoms later cough. His atypical presentation led to delay diagnosis, but ultimately he...
Background Published information on snakebite is rare in Bhutan although remarkably higher number of snakebites and associated deaths are reported from other South Asian countries. Aims methodology Structured questionnaire was used to collect knowledge health workers management seeking behavior victims as observed by workers. Study conducted purposively sampled 10 Dzongkhags (district level administrative units) with incidence snakebites. Result Heath scored 27–91% (with an average 63%, SD =...
Abstract Background Rabies continues to pose significant public health challenges in many developing countries including Bhutan. A probable case of rabies was admitted our hospital and its reporting led the uncovering an outbreak domestic wild animals. We discuss diagnosis management a resource-limited setting. Case presentation 35-year-old male presented with intermittent fever, bilateral lower limb weakness that rapidly progressive, urinary incontinence episodes palpitations sweating. He...
BackgroundThe South Asian Region shoulders more than its fair share of health-related challenges. While we continue to tackle acute and communicable illness, newer challenges concerns have emerged. These include the rapidly increasing metabolic endocrine syndromes such as diabetes, dyslipidemia obesity.MethodsIn past, SAFES has released Dhaka Declaration (2015) on gestational diabetes mellitus, Colombo (2019) prevention diabetes. The authors from 8 countries together drafted agreed this...
Introduction: Peripheral neuropathy outbreaks have been a common occurrence amongst boarding schoolchildren from seven districts in Bhutan. Thiamin deficiency has always suspected to be the cause but status of vitamin never established. This study aims find thiamin and dietary intake micronutrients with previous history peripheral outbreaks.
 Methods: Whole blood were assessed 448 school children for four periods (SP). Baseline data (SP1) was collected when just joined at start academic...
CD4 count is an important predictor of disease progression, opportunities infection, deaths, and to understand the time interval between initial HIV infection first diagnosis. However, baseline period diagnosis amongst PLHIV in Bhutan never been evaluated.
Abstract Background Bhutan is committed to eliminating hepatitis B and C, though recent baseline estimates of disease burden in the general population are unknown. In 2017, we carried out a biomarker survey estimate prevalence virus (HBV) C (HCV) biomarkers evaluate impact immunization guide further efforts. Methods cross-sectional, population-based, three-stage cluster was undertaken (1–17 20+ years age). We visited households, collected blood specimens administered standard questionnaire....
ABSTRACT Background and Aim Globally, diabetes mellitus is a major public health concern affecting 10.5% of the population. Nearly 90% these people have Type 2 (T2DM). In Bhutan, T2DM prevalent in 5.6% population, around 60% are unaware their diagnosis diabetes. There no baseline information on rate risk factors for complications Bhutan. The study assessed clinical profile at Jigme Dorji Wangchuk (JDW) National Referral Hospital, Methods A descriptive cross‐sectional was conducted JDW from...
Introduction: Helicobacter pylori (H. pylori) is a bacterium causing chronic gastric infection and may cause cancer. It was necessary to see the trend of infection, especially in symptomatic patients. This retrospective descriptive study aimed describe characteristics H. Bhutanese patients referred for an endoscopy National Referral Hospital, Thimphu. Methods: The sample randomized 380 medical records who underwent upper gastrointestinal Rapid Urea Test dyspepsia peptic ulcer. Data collected...
Chronic Hepatitis B (CHB) infection has an intermediate prevalence rate in South Asian countries, except for Nepal and Sri Lanka where it a low rate. HBeAg negative CHB been found to be more pronounced this part of the world. As described previously, two phases with positive based on ALT, DNA & biopsy. The latter was previously have benign course. later guidelines distinguished status into categories inactive phase reactivation one. In review article we highlighted Negative burden...
To study the vitamin D status among Bhutanese population visiting Jigme Dorji Wangchuck National Referral Hospital in Thimphu, Bhutan.This is a retrospective descriptive involving extraction of data from hospital database. Records patients who had taken tests last two years (2020-2021) were included study.A total 1175 individuals took test during period, and age ranged between 1 day 94 years. Over 60% participants females. The found that over 83% our serum levels lower than normal...
Pre-Diabetes is a well-defined pre-disease state of type 2 diabetes mellitus. The problem even worse in the South Asian region where not only ''is burden'' pre-diabetes huge, but, as high-risk ethnicity, individuals tend to zoom into Type at much faster pace than other ethnicities. Since 2021, August 14 has been recognized World Prediabetes Day. This date was chosen it falls exactly 90 days before Diabetes (November 14th) Ninety timeframe required achieve meaningful impact on elevated...