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Papers by Siddhant Adhikari
Journal of Nepal Medical Association, May 1, 2023
Introduction: Comorbidities are frequently seen in admitted COVID-19 patients most common being h... more Introduction: Comorbidities are frequently seen in admitted COVID-19 patients most common being hypertension, diabetes, cardiovascular diseases and chronic kidney disease. Chronic kidney disease is a slowly progressive chronic illness due to the gradual loss of kidney function or structure. The available data regarding the prevalence of chronic kidney disease and COVID-19 comorbidities is still limited. The aim of this study was to find out the prevalence of chronic kidney disease among COVID-19 patients admitted to the Department of Medicine of a tertiary care centre. Methods: A descriptive cross-sectional study was done in the Department of Medicine of a tertiary care centre.
Journal of Nepal Medical Association, Aug 31, 2022
Introduction: Pneumonia is one of the most common infectious causes of death in children around t... more Introduction: Pneumonia is one of the most common infectious causes of death in children around the world, accounting for 14% of all deaths of children under five years of age. The study aimed to find out the prevalence of pneumonia among children admitted to the Department of Medicine in a tertiary care hospital. Methods: A descriptive cross-sectional study was conducted in the Department of Medicine of paediatrics tertiary care centre from 1 July 2021 to 30 June 2022 among children aged 2-59 months. Ethical approval was obtained from the Institutional Review Committee (Reference number: 94). Convenience sampling method was used. Data were collected from hospital records during the study period. Point estimate and 95% Confidence Interval were calculated. Results: Among 385 children, pneumonia was seen in 76 (19.74%) (15.76-23.72, 95% Confidence Interval) children. A total of 30 (39.47%) patients were in the age group of 2-11 months, 52 (68.42%) were males, 38 (50%) required O 2 supplementation, 26 (34.21%) required transfer to the Intensive Care Unit, and 53 (69.74%) patients stayed for <7 days in the hospital. Conclusions: The prevalence of pneumonia in children admitted to the Department of Medicine was found to be higher than similar studies conducted in similar settings, with higher prevalence in young infants and the male sex than other age groups and genders, respectively.
Journal of Nepal Medical Association
Introduction: Chronic obstructive pulmonary disease is a prevalent respiratory condition with per... more Introduction: Chronic obstructive pulmonary disease is a prevalent respiratory condition with permanent and progressively decreasing airflow limitation. Chronic obstructive pulmonary disease causes more than 3 million deaths per year globally, making it the third leading cause of death globally. The aim of this study was to find out the prevalence of chronic obstructive pulmonary disease among patients admitted to the Department of Medicine in a tertiary care centre. Methods: A descriptive cross-sectional study was done in the Department of Medicine of a tertiary care centre. Data from 1 January 2022 to 30 December 2022 were collected between 15 June 2023 to 30 June 2023 from the hospital records and reviewed. Ethical approval was taken from the Institutional Review Committee. All the patients admitted to the Department of Medicine during the study period were included in the study. The patients with incomplete medical records were excluded from the study. Convenience sampling metho...
Journal of Nepal Medical Association, Nov 2, 2022
Dysgerminoma is the most common malignant germ cell tumour of the ovary. Abdominal pain, abdomina... more Dysgerminoma is the most common malignant germ cell tumour of the ovary. Abdominal pain, abdominal distention, and the presence of a palpable mass are common symptoms at presentation. This is usually detected in youth, before the age of 20 years. Ovarian or adnexal tumours are very rare in patients below the age of 18 years, most of them being functional cysts, only 10% being malignant. Here is a rare case of an 8 years old girl with dysgerminoma who underwent right-sided salpingo-oophorectomy for unilateral involvement with conservation of fertility and now the patient is on chemotherapy as the tumour metastasized to the pre-aortic lymph node.
Journal of Nepal Medical Association
Introduction: Community-acquired pneumonia is an acute infection of lung tissue in an immunocompe... more Introduction: Community-acquired pneumonia is an acute infection of lung tissue in an immunocompetent patient who have not recently been hospitalized or has been hospitalized for less than 48 hours and acquired it in the community. It continues to have a substantial effect on the elderly, who are impacted more often and severely than younger groups. It is the third most common hospital diagnosis in adults over the age of 65 years, and the sixth major cause of mortality in developed nations. The aim of this study was to find out the prevalence of community-acquired pneumonia among elderly patients admitted to the Department of Medicine in a tertiary care centre. Methods: A descriptive cross-sectional study was done in the Department of Medicine in a tertiary care centre where data were collected from 1 December 2021 and 1 December 2022 after obtaining ethical approval from the Institutional Review Committee (Reference number: 465/2079/80). Data on community-acquired pneumonia in the ...
Journal of Nepal Medical Association
Introduction: Comorbidities are frequently seen in admitted COVID-19 patients most common being h... more Introduction: Comorbidities are frequently seen in admitted COVID-19 patients most common being hypertension, diabetes, cardiovascular diseases and chronic kidney disease. Chronic kidney disease is a slowly progressive chronic illness due to the gradual loss of kidney function or structure. The available data regarding the prevalence of chronic kidney disease and COVID-19 comorbidities is still limited. The aim of this study was to find out the prevalence of chronic kidney disease among COVID-19 patients admitted to the Department of Medicine of a tertiary care centre. Methods: A descriptive cross-sectional study was done in the Department of Medicine of a tertiary care centre. Data of medical records between 1 August 2020 to 1 December 2022 were reviewed retrospectively. The data was collected from 20 January 2023 to 20 March 2023. Ethical approval was obtained from the Institutional Review Committee (Reference number: 646/2079/80). Data on chronic kidney disease patients among COV...
Journal of Nepal Medical Association
Introduction: Diabetic ketoacidosis is one of the most severe acute complications of diabetes mel... more Introduction: Diabetic ketoacidosis is one of the most severe acute complications of diabetes mellitus characterised by hyperglycemia, hyperketonemia, and metabolic acidosis. Prompt diagnosis and treatment of diabetic ketoacidosis can decrease severity, hospital stay, and possible mortality. This study aimed to find out the prevalence of diabetic ketoacidosis among diabetic patients admitted to the department of medicine of a tertiary care centre. Methods: This descriptive cross-sectional study was conducted at a tertiary care centre. Data from 1 March 2022 to 1 December 2022 were collected between 1 January 2023 and 1 February 2023 from the hospital records. The ethical approval was taken from the Institutional Review Committee of the same institute (Reference number: 466/2079/80). All the diabetic patients admitted to the Department of Medicine during our study duration were enrolled for the study. Diabetic patients who left against medical advice and those with incomplete data we...
Journal of Nepal Medical Association
Dysgerminoma is the most common malignant germ cell tumour of the ovary. Abdominal pain, abdomina... more Dysgerminoma is the most common malignant germ cell tumour of the ovary. Abdominal pain, abdominal distention, and the presence of a palpable mass are common symptoms at presentation. This is usually detected in youth, before the age of 20 years. Ovarian or adnexal tumours are very rare in patients below the age of 18 years, most of them being functional cysts, only 10% being malignant. Here is a rare case of an 8 years old girl with dysgerminoma who underwent right-sided salpingo-oophorectomy for unilateral involvement with conservation of fertility and now the patient is on chemotherapy as the tumour metastasized to the pre-aortic lymph node.
Journal of Nepal Medical Association
Introduction: Pneumonia is one of the most common infectious causes of death in children around t... more Introduction: Pneumonia is one of the most common infectious causes of death in children around the world, accounting for 14% of all deaths of children under five years of age. The study aimed to find out the prevalence of pneumonia among children admitted to the Department of Medicine of a tertiary care hospital. Methods: A descriptive cross-sectional study was conducted in the Department of Medicine of paediatrics tertiary care centre from 1 July 2021 to 30 June 2022 among children aged 2-59 months. Ethical approval was obtained from the Institutional Review Committee (Reference number: 94). Convenience sampling method was used. Data were collected from hospital records during the study period. Point estimate and 95% Confidence Interval were calculated. Results: Among 385 children, pneumonia was seen in 76 (19.74%) (15.76-23.72, 95% Confidence Interval) children. A total of 30 (39.47%) patients were in the age group of 2-11 months, 52 (68.42%) were males, 38 (50%) required O2 supp...
Journal of Nepal Medical Association, May 1, 2023
Introduction: Comorbidities are frequently seen in admitted COVID-19 patients most common being h... more Introduction: Comorbidities are frequently seen in admitted COVID-19 patients most common being hypertension, diabetes, cardiovascular diseases and chronic kidney disease. Chronic kidney disease is a slowly progressive chronic illness due to the gradual loss of kidney function or structure. The available data regarding the prevalence of chronic kidney disease and COVID-19 comorbidities is still limited. The aim of this study was to find out the prevalence of chronic kidney disease among COVID-19 patients admitted to the Department of Medicine of a tertiary care centre. Methods: A descriptive cross-sectional study was done in the Department of Medicine of a tertiary care centre.
Journal of Nepal Medical Association, Aug 31, 2022
Introduction: Pneumonia is one of the most common infectious causes of death in children around t... more Introduction: Pneumonia is one of the most common infectious causes of death in children around the world, accounting for 14% of all deaths of children under five years of age. The study aimed to find out the prevalence of pneumonia among children admitted to the Department of Medicine in a tertiary care hospital. Methods: A descriptive cross-sectional study was conducted in the Department of Medicine of paediatrics tertiary care centre from 1 July 2021 to 30 June 2022 among children aged 2-59 months. Ethical approval was obtained from the Institutional Review Committee (Reference number: 94). Convenience sampling method was used. Data were collected from hospital records during the study period. Point estimate and 95% Confidence Interval were calculated. Results: Among 385 children, pneumonia was seen in 76 (19.74%) (15.76-23.72, 95% Confidence Interval) children. A total of 30 (39.47%) patients were in the age group of 2-11 months, 52 (68.42%) were males, 38 (50%) required O 2 supplementation, 26 (34.21%) required transfer to the Intensive Care Unit, and 53 (69.74%) patients stayed for <7 days in the hospital. Conclusions: The prevalence of pneumonia in children admitted to the Department of Medicine was found to be higher than similar studies conducted in similar settings, with higher prevalence in young infants and the male sex than other age groups and genders, respectively.
Journal of Nepal Medical Association
Introduction: Chronic obstructive pulmonary disease is a prevalent respiratory condition with per... more Introduction: Chronic obstructive pulmonary disease is a prevalent respiratory condition with permanent and progressively decreasing airflow limitation. Chronic obstructive pulmonary disease causes more than 3 million deaths per year globally, making it the third leading cause of death globally. The aim of this study was to find out the prevalence of chronic obstructive pulmonary disease among patients admitted to the Department of Medicine in a tertiary care centre. Methods: A descriptive cross-sectional study was done in the Department of Medicine of a tertiary care centre. Data from 1 January 2022 to 30 December 2022 were collected between 15 June 2023 to 30 June 2023 from the hospital records and reviewed. Ethical approval was taken from the Institutional Review Committee. All the patients admitted to the Department of Medicine during the study period were included in the study. The patients with incomplete medical records were excluded from the study. Convenience sampling metho...
Journal of Nepal Medical Association, Nov 2, 2022
Dysgerminoma is the most common malignant germ cell tumour of the ovary. Abdominal pain, abdomina... more Dysgerminoma is the most common malignant germ cell tumour of the ovary. Abdominal pain, abdominal distention, and the presence of a palpable mass are common symptoms at presentation. This is usually detected in youth, before the age of 20 years. Ovarian or adnexal tumours are very rare in patients below the age of 18 years, most of them being functional cysts, only 10% being malignant. Here is a rare case of an 8 years old girl with dysgerminoma who underwent right-sided salpingo-oophorectomy for unilateral involvement with conservation of fertility and now the patient is on chemotherapy as the tumour metastasized to the pre-aortic lymph node.
Journal of Nepal Medical Association
Introduction: Community-acquired pneumonia is an acute infection of lung tissue in an immunocompe... more Introduction: Community-acquired pneumonia is an acute infection of lung tissue in an immunocompetent patient who have not recently been hospitalized or has been hospitalized for less than 48 hours and acquired it in the community. It continues to have a substantial effect on the elderly, who are impacted more often and severely than younger groups. It is the third most common hospital diagnosis in adults over the age of 65 years, and the sixth major cause of mortality in developed nations. The aim of this study was to find out the prevalence of community-acquired pneumonia among elderly patients admitted to the Department of Medicine in a tertiary care centre. Methods: A descriptive cross-sectional study was done in the Department of Medicine in a tertiary care centre where data were collected from 1 December 2021 and 1 December 2022 after obtaining ethical approval from the Institutional Review Committee (Reference number: 465/2079/80). Data on community-acquired pneumonia in the ...
Journal of Nepal Medical Association
Introduction: Comorbidities are frequently seen in admitted COVID-19 patients most common being h... more Introduction: Comorbidities are frequently seen in admitted COVID-19 patients most common being hypertension, diabetes, cardiovascular diseases and chronic kidney disease. Chronic kidney disease is a slowly progressive chronic illness due to the gradual loss of kidney function or structure. The available data regarding the prevalence of chronic kidney disease and COVID-19 comorbidities is still limited. The aim of this study was to find out the prevalence of chronic kidney disease among COVID-19 patients admitted to the Department of Medicine of a tertiary care centre. Methods: A descriptive cross-sectional study was done in the Department of Medicine of a tertiary care centre. Data of medical records between 1 August 2020 to 1 December 2022 were reviewed retrospectively. The data was collected from 20 January 2023 to 20 March 2023. Ethical approval was obtained from the Institutional Review Committee (Reference number: 646/2079/80). Data on chronic kidney disease patients among COV...
Journal of Nepal Medical Association
Introduction: Diabetic ketoacidosis is one of the most severe acute complications of diabetes mel... more Introduction: Diabetic ketoacidosis is one of the most severe acute complications of diabetes mellitus characterised by hyperglycemia, hyperketonemia, and metabolic acidosis. Prompt diagnosis and treatment of diabetic ketoacidosis can decrease severity, hospital stay, and possible mortality. This study aimed to find out the prevalence of diabetic ketoacidosis among diabetic patients admitted to the department of medicine of a tertiary care centre. Methods: This descriptive cross-sectional study was conducted at a tertiary care centre. Data from 1 March 2022 to 1 December 2022 were collected between 1 January 2023 and 1 February 2023 from the hospital records. The ethical approval was taken from the Institutional Review Committee of the same institute (Reference number: 466/2079/80). All the diabetic patients admitted to the Department of Medicine during our study duration were enrolled for the study. Diabetic patients who left against medical advice and those with incomplete data we...
Journal of Nepal Medical Association
Dysgerminoma is the most common malignant germ cell tumour of the ovary. Abdominal pain, abdomina... more Dysgerminoma is the most common malignant germ cell tumour of the ovary. Abdominal pain, abdominal distention, and the presence of a palpable mass are common symptoms at presentation. This is usually detected in youth, before the age of 20 years. Ovarian or adnexal tumours are very rare in patients below the age of 18 years, most of them being functional cysts, only 10% being malignant. Here is a rare case of an 8 years old girl with dysgerminoma who underwent right-sided salpingo-oophorectomy for unilateral involvement with conservation of fertility and now the patient is on chemotherapy as the tumour metastasized to the pre-aortic lymph node.
Journal of Nepal Medical Association
Introduction: Pneumonia is one of the most common infectious causes of death in children around t... more Introduction: Pneumonia is one of the most common infectious causes of death in children around the world, accounting for 14% of all deaths of children under five years of age. The study aimed to find out the prevalence of pneumonia among children admitted to the Department of Medicine of a tertiary care hospital. Methods: A descriptive cross-sectional study was conducted in the Department of Medicine of paediatrics tertiary care centre from 1 July 2021 to 30 June 2022 among children aged 2-59 months. Ethical approval was obtained from the Institutional Review Committee (Reference number: 94). Convenience sampling method was used. Data were collected from hospital records during the study period. Point estimate and 95% Confidence Interval were calculated. Results: Among 385 children, pneumonia was seen in 76 (19.74%) (15.76-23.72, 95% Confidence Interval) children. A total of 30 (39.47%) patients were in the age group of 2-11 months, 52 (68.42%) were males, 38 (50%) required O2 supp...