- Global Maternal and Child Health
- Healthcare Systems and Reforms
- Health disparities and outcomes
- COVID-19 Clinical Research Studies
- Global Health Care Issues
- Chronic Disease Management Strategies
- Antibiotic Resistance in Bacteria
- Emergency and Acute Care Studies
- COVID-19 epidemiological studies
- Leprosy Research and Treatment
- SARS-CoV-2 and COVID-19 Research
- Tuberculosis Research and Epidemiology
- Cerebrospinal fluid and hydrocephalus
- Gastric Cancer Management and Outcomes
- Influenza Virus Research Studies
- Colorectal Cancer Treatments and Studies
- Family Dynamics and Relationships
- Global Public Health Policies and Epidemiology
- Demographic Trends and Gender Preferences
- Genetic and Kidney Cyst Diseases
- Myasthenia Gravis and Thymoma
- Thyroid and Parathyroid Surgery
- Intestinal and Peritoneal Adhesions
- Gut microbiota and health
- Clinical Reasoning and Diagnostic Skills
National Academy of Medical Sciences
2025
Louisiana State University Health Sciences Center New Orleans
2025
Ministry of Health and Population
2022-2024
Department of Health Services
2022-2023
B.P. Koirala Institute of Health Sciences
1970-2020
Tribhuvan University
2019-2020
Right to Care
2015
Kathmandu Medical College Teaching Hospital
2006
Background: More than 10 % of colorectal carcinoma occur in patients less 50 years. Progression a polyp to may take 5 20 Implementing screening guidelines and removing such polyps would reduce the progression into carcinoma. The aim study was find prevalence, distribution histological analysis under years undergoing colonoscopy.Methods: Single-center cross-sectional 254 consecutive who underwent colonoscopy were included study. Patients with prior diagnosis inflammatory bowel disease,...
Abstract Background: Triple-negative breast cancer (TNBC) is the most aggressive form of and diagnosed more frequently in younger, premenopausal women. Obesity a known risk factor for increased TNBC incidence. The association gut dysbiosis with obesity now established. Immune checkpoint blockade anti-PD-1 currently standard care early TNBC. Evidence suggests modulating microbiome enhances immunotherapy efficacy few types. However, there are no studies on Overarching Challenge: number...
Background Morbidity increases with age and enhances the burden of health problems that result in new challenges to meet additional demands. In ageing population, problems, care utilization should be assessed carefully addressed. This study aimed identify chronic morbidities, seeking behaviour among elderly. Methods We conducted a community based, cross-sectional urban areas Sunsari district using face-to-face interviews. A total 530 elderly participants were interviewed selected by simple...
Abstract Background Nepal has achieved and sustained the elimination of leprosy as a public health problem since 2009, but 17 districts 3 provinces with 41% (10,907,128) Nepal’s population have yet to eliminate disease. Pediatric cases grade-2 disabilities (G2D) indicate recent transmission late diagnosis, respectively, which necessitate active early case detection. This operational research was performed identify approaches best suited for detection, determine community-based epidemiology,...
Objectives The study aimed at estimating out-of-pocket (OOP) expenditure, catastrophic health expenditure (CHE) and distress financing due to hospitalisation outpatient care among industrial workers in Eastern Nepal. Methods We conducted a cross-sectional involving employed large-scale industry Those who were hospitalised the last 1 year or availed within 30 days administered structured questionnaire estimate cost of illness. CHE was defined as more than 20% annual household income. Distress...
Contraceptive use and fertility rates vary substantially among developing countries. An important factor, which affects the of any population, is Contraceptive. varies by age. Nepal over past 15 years show an impressive increase in modern contraceptive methods from 26 percent 1996 to 43 2011. Objectives assess knowledge, attitude regarding family planning practice contraceptives married women Dhabi VDC Eastern Nepal. A descriptive cross-sectional observational study was done VDC. Total 300...
Few seroprevalence studies have been conducted on coronavirus disease (COVID-19) in Nepal. Here, we aimed to estimate and assess risk factors for infection the general population of Nepal by conducting two rounds sampling. The first round was October 2020, at peak generalized wave COVID-19, second July-August 2021, following caused delta variant SARS-CoV-2. We used cross-sectional probability-to-size (PPS)-based multistage cluster sampling national provincial levels. tested anti-SARS-CoV-2...
Background: Monitoring a patient's serum acetylcholinesterase (AChE) status after clinical score of organophosphate poisoning enables the verification exposure to anticholinesterase agents.
 Methods: A cross-sectional study was conducted among patients fulfilling inclusion criteria and categorized according POP (Peradeniya Organophosphorus Poisoning) score. The at tertiary hospital for one year in period Jan 2016 Dec 2016. applied level determined lab. Spearman’s rho coefficient method...
Background: Breast problems are common among female patient attending general outpatient. Although the problem is expected to have significant morbidity, patients usually hide or present late for breast related in Nepal. Objective: To measure pattern of diseases and its frequency distribution different age groups outpatient department at BPKIHS, Methods: A crosssectional study was conducted (GOPD) B.P.Koirala Institute Health Sciences (BPKIHS) during a period six months. Women all presenting...
Tobacco smoking kills more than five million people a year worldwide. According to Nepal Adolescent and Young Adult (NAYA) Survey 2000, about one quarter of young boys in 10 girls have smoked tobacco at some time or the other. A cross sectional study was done Jalthal & Maheshpur Village Development Committee Jhapa district using simple random sampling method among 200 participants. Interview methods with semi-structured questionnaires were used as tool for data collection. The objective...
Gender equality has been a priority area of demographic research. One the major reasons for high fertility and low acceptance family planning is prevalence gender preference among couples. The objectives this study were to identify determinants examine extent on fertility.This cross-sectional carried from June 2008 July 2009 in Duhavi VDC Sunsari district Nepal. Three hundred five randomly selected ever-married women 15 - 49 years, who had at least one child subjects study. A questionnaire...
Introduction: Nepal has diverse terrain and the length of time taken by patients to get medical help is often too long. Road linkage transport may not exist, inadequate or are unreliable irregular.
 Materials Methods: After ethical clearance, this prospective observational study was done convenient sampling, among 2211 arriving in emergency ward B. P. Koirala Institute health science over a period one month. A pre-tested validated questionnaire consisting questions related objectives...
Introduction: Cirrhosis of the liver is a progressively worsening condition. Nutritional interventions to improve nutritional status malnourished patients can significantly enhance prognosis. Traditional methods assessment, such as body mass index and waist circumference, are often unreliable. This study aims find out prevalence malnutrition among with cirrhosis in tertiary care centre. Methods: A descriptive cross-sectional was conducted hospital from 01 December 2022 May 2023 after...
Introduction Swine flu is an acute respiratory viral disease, caused by a strain of the influenza type A virus known as H1N1. Currently swine spreading rapidly in India with regular threat it being spread to Nepal owing open borders.ObjeciveThe objective this study was assess knowledge, attiude and practice on different aspects Flu.MethodologyThis cross-sectional conducted Inaruwa municipality Sunsari district from 1st March 10th April, 2015. total 31 schools (21 private 10 public) were...
Abstract Background : Global ageing population is in increasing trend. Morbidity increases with age and enhances the burden of health problems that results new challenges to meet additional demands. There can be various types issues such as problems, care utilization, physical social which should carefully assessed addressed. Objective This study aimed assess unmet needs among elderly. Methodology A Community based, House House, Cross sectional was conducted urban areas sunsari district...
Abstract Background Nepal has achieved and sustained elimination of leprosy as a public health problem since 2009, but 17 districts 3 provinces have yet to eliminate the disease. Pediatric cases grade-2 disabilities (G2D) indicate recent transmission late diagnosis respectively, which necessitate active early case detection. This operational research was performed identify approaches best suited for detection, determine community-based epidemiology, hidden respond with prompt treatment....
Few seroprevalence studies were performed on coronavirus disease (COVID-19) in Nepal. Here, we aimed to estimate and assess risk factors for infection the general population of Nepal by conducting two rounds sampling. The first round October 2020 at peak generalized wave COVID-19 second July-August 2021 following caused delta variant SARS-COV-2. We used cross-sectional probability-to-size (PPS)-based multistage cluster sampling national provincial levels. tested presence anti-SARS-CoV-2...
Background: Due to its perception as a disease of development, road traffic accident and related injuries tend be under recognized major health problem in developing countries. However, majority the world's fatalities on roads occur low income middle Since main cause is attributed human risky behaviors, it important identify significant factors for behaviors drivers.Objective: To know risk taking behavior among drivers practices driving.Methods: This population based cross-sectional study....