- Pleural and Pulmonary Diseases
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Global Public Health Policies and Epidemiology
- Pediatric health and respiratory diseases
- Trauma Management and Diagnosis
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Pneumothorax, Barotrauma, Emphysema
- Healthcare Systems and Reforms
- Obstructive Sleep Apnea Research
- Air Quality and Health Impacts
- Lung Cancer Diagnosis and Treatment
- Nasal Surgery and Airway Studies
- Noise Effects and Management
- Diverse Scientific Research Studies
- Congenital heart defects research
- Vascular Anomalies and Treatments
- Sleep and Wakefulness Research
- Cardiovascular Conditions and Treatments
- Facial Rejuvenation and Surgery Techniques
- Restraint-Related Deaths
- Global Health and Epidemiology
- Artificial Intelligence in Healthcare
- Diagnosis and treatment of tuberculosis
- Tuberculosis Research and Epidemiology
- Dysphagia Assessment and Management
Biratnagar Eye Hospital
2019-2023
Nepal Medical College Teaching Hospital
2017-2021
B.P. Koirala Institute of Health Sciences
2012-2020
Manmohan Memorial Institute of Health Sciences
2015
BackgroundChronic kidney disease is an important cause of global mortality and morbidity. Data for epidemiological features chronic its risk factors are limited low-income middle-income countries. The International Society Nephrology's Kidney Disease Center (ISN-KDDC) aimed to assess the prevalence awareness factors, investigate cardiovascular disease, in countries low middle income.MethodsWe did a cross-sectional study 12 from six world regions: Bangladesh, Bolivia, Bosnia Herzegovina,...
Introduction: Dyslipidemia is highly prevalent among type 2 diabetic patients. It increases the risk of atherosclerosis and consequent mortality in The aim this study was to find out prevalence dyslipidemia Methods: This a descriptive cross-sectional 355 patients at tertiary care hospital from 15th May, 2020 November, after taking ethical clearence Institutional Review Committee (Reference no. IRC-PA-052/2077-78). Convenience sampling done. Demographic lipid profile variables were recorded...
Chronic kidney disease is a worldwide public health problem. In Nepal, patients are increasing and the management of this very expensive compared to other chronic diseases? We assessed socioeconomic status registered in National Kidney Centre, Banasthali, Kathmandu. The study used descriptive cross sectional design. Ninety six samples were collected between 15- 31 October, 2012.The mean age was 47 years, with almost half (46%) from 41-60 years group. Among patients, 65 % male, 85% married,...
Solvent abuse, as inhalant specially, in the form of low cost adhesives like dendrite is common income countries among children and teens. This habit often a stepping stone to harder drugs. The neurological neuropsychological effects solvent abuse are well explored. But respiratory overlooked. In this report, we present case 19 year old gentleman, with regular history sniffing commercial “glue” compounds. patient presented right sided chest pain x-ray showed pneumothorax. pulmonary...
Introduction: Outdoor air pollution is a cause for occupational lung disease. A community vulnerable to health hazards of outdoor pollutants from vehicle emissions traffic police, whose long duration work, with no proper protective equipment, predisposes them respiratory symptoms such as cough, dryness nose, throat irritation and wheezing due the causing inflammation airways. The risks function development disease are not known in police eastern Nepal. Objectives: To determine morbidities...
Background: Peptic ulcer disease is defined as a breach in gastric epithelium of the inner lining gastrointestinal tract due to imbalance between destructive acid, pepsin, and protective mucosa. Helicobacter pylori (H. pylori) gram-negative, flagellated bacilli. H. infection eradication possible with antimicrobial therapy, so its prompt appropriate diagnosis very important. Objectives: To compare results stool antigen test (SAT) rapid urease (RUT), assessment sensitivity specificity....
Pleurodesis is a procedure to achieve symphysis between the two layers of pleura aimed at preventing accumulation either air or fluid in pleural space. In Nepal, intrapleural instillation chemical sclerosing agent more commonly done as thoracoscopy facility not easily available. However, iodopovidone rarely used for this purpose Nepal. The study aims find prevalence success using agent.The included cases undergoing pleurodesis over two-year period. clinicodemographic data, diagnosis,...
Broad leaf mustard (Brassica juncea var. rugose) is a highly nutritious and diverse vegetable crop, particularly popular in Nepal Northern India. The major challenges are lack of suitable varieties, disease, pests, limited research on the varietal performance broad mustard. This aims to assess vegetative growth, yield, nutritional status different varieties under plastic house condition, as well palatability those varieties. experiment was carried out Randomized complete block design (RCBD)...
Background: Ambient air pollution is a cause of chronic respiratory diseases. Nepal has an increasing burden morbidities, and Biratnagar city poor quality index. Rickshaw drivers are exposed to ambient pollutants for long durations. The study aimed determine the prevalence symptoms in rickshaw measure their pulmonary function.Methods: A cross-sectional was conducted from January 2022 2023. structured questionnaire recorded data on socio-demographic variables symptoms. Hand-held portable...
Background : Many patients attending routine respiratory clinical service in developing countries also present with complains of daytime sleepiness and sleep abnormalities. A large proportion them might have Sleep Related Breathing Disorders (SRBD) as such, it is underestimated. Within this background we conducted a study to explore the presence SRBD among presenting symptom complex diseases Routine Respiratory Clinical Service by use Epworth Sleepiness Scale (ESS).Material Methods:...
Introduction: The burden of Overlap Syndrome (coexistence sleep-related breathing disorders in patients with respiratory diseases) is high developing countries, and such a phenomenon implies higher morbidity. study was conducted to measure the prevalence Respiratory Symptom Complex identify factors associated severity disorders.Materials Methods: A hospital-based cross-sectional 50 symptom complex at BP Koirala Institute Health Sciences. Structured proforma Polysomnography were used for...
Study of clinical profile the patients and diagnostic yield selected bronchoscopic procedures gives us important information in decision making better patient care. There are hardly very few studies regarding these entities. Therefore, we decided to study characteristics outcomes who underwent evaluation our setting.This was a cross-sectional consecutive bronchoscopy from 1st May 2013- 30th April 2015 division pulmonary, critical care sleep medicine. The main procedure performed...
Introduction: Vaccines require continuous monitoring to increase their compliance, quality, and safety. We conducted this study fulfill the research gap for adverse events following immunization (AEFIs) after COVISHIED (ChAdOx1nCoV-19) vaccination among Nepali of eastern Nepal. Method: A cross-sectional was from 25 Jan 2021 Jul at Birat Medical College Teaching Hospital Morang, The data on COVISHIELD vaccine recipients center were analyzed AEFI. Ethical clearance obtained. Result: Out 167...
Orbital preseptal thickness is an important parameter not only in diagnosis of orbital cellulitis but also recent classification and management dark eye circle (DEC).The aim this study was to evaluate normal collect baseline data skin a given population with no pathology.Ultrasound performed on 42 patients (23 females 19 males) clinically eyes orbits for evaluation thickness. The age ranged between 15 35 years mean 24.9 years.Our concluded that from 2.1 mm 5.5 mm. Mean both sides 3.9...
Background: Novel coronavirus infection has myriad clinical manifestations, such as headache, respiratory failure, and long disease syndrome. A common cause for admission is pneumonia, patients have shown longer periods of symptoms exercise intolerance after discharge. The study aimed to determine short-term long-term lung function outcomes in patients. Materials Methods: prospective, cross-sectional was conducted facility Birat Medical College Teaching Hospital. structured proforma...
Holt-Oram Syndrome is an autosomal dominant disorder with complete penetrance characterized by congenital cardiac defects and skeletal abnormalities of the upper limbs. Till now more than 300 cases have been reported showing wide spectrum clinical signs but to best our knowledge, reporting familial from Nepal has not done. We found syndrome in a 16 years old male patient limb anomalies who was being evaluated for dyspnea palpitation. Similar findings were later his two siblings. recommend...
Background: Alcohol can affect anyone. It is not prejudicial towards any race, colour, sex, religion or economic level. affects individual’s life, personal relationship, health and occupational functioning.1 estimated to cause a net harm of 3.7% all deaths 4.4% the global burden disease.3 This study will provide baseline data pave way for further studies broaden implication management control alcohol related problems in female.Objective: To about clinico-demographic profile female with...
Introduction: In the background of resource limited setting like Nepal, we set out to identify if specific clinical characteristics and basic lab parameters would guide differentiation Tuberculous from other causes exudative pleural effusion.Methodology: Retrospective study 109 consecutive patients with effusion.Results: Compared Tubercular effusions (41.3%), increased age, duration symptom pack years statistically favoured a diagnosis Malignant effusion(21.1%), whereas presence fever, cough...
Wernicke's encephalopathy is a neuropsychiatric disorder characterized by acute onset, nystagmus and oculomotor abnormalities, confusional state. Chronic alcohol intake still the most common reason. encephalopathy, if not recognized treated, can become irreversible. Common findings in Magnetic Resonance Imaging (MRI) include: symmetric T2 Weighted Image (T2) hyperintensities peri-aqueductal gray matter, dorsal medial thalamus mammillary bodies. This case highlights neurological deficits,...
Introduction: The management of Empyema Thoracis is challenging. It requires specialist medical and surgical care at the same time. There are lack data regarding clinical profile steps day to management, hence this study aims identify these parameters focus on gaps in that commonplace our setting representative other resource limited settings as well.
 Methods: Clinical profile, etiological agents, hospital course outcome 30 patients with empyema thoracis treated from 2012 2014 B.P....
Introduction: Critical Care management is an important issue in developing countries where Medical Intensive Units (MICU) patients have comorbidity or complications of multisystem involvement. Objectives: The objective study was to analyze clinical profiles Unit and identify applicable factors that prognosticate outcomes. Methodology: Study conducted at B. P. Koirala Institute Health Sciences, Dharan, Nepal. Records from July 31, 2013 August 1, 2014 were retrospectively studied. Clinical...
Introduction: Tuberculosis is a common infection in our community. Tubercular pleural effusion the second most form of extrapulmonary tuberculosis. Among several causes exudative effusison tubercular remains clinical practice. The aim this study was to evaluate significance lymphocyte-neutrophil ratio(LN ratio) cases for diagnosis effusion. Methods: This hospital based cross sectional studydone Patients at tertiary care from 1st September 2020 april 2021after taking ethical clearance...