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bikash shah

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Papers by bikash shah

Research paper thumbnail of COVID-19: a National Survey on perceived level of knowledge, attitude and practice among frontline healthcare Workers in Nepal

BMC Public Health

BackgroundThe aim of this study was to determine the knowledge, attitude and practice (KAP) regar... more BackgroundThe aim of this study was to determine the knowledge, attitude and practice (KAP) regarding the COVID-19 among frontline healthcare workers (F-HCWs) working at different hospitals in Nepal and to identify the factors significantly associated with KAP.MethodsWe used a web-based survey, and a convenience sampling method was adopted to collect data from 603 F-HCWs working at different hospitals in Nepal during the first week of June 2020. A self-administered questionnaire was utilized to assess the KAP perceived by the F-HCWs. It was divided into 4-parts consisting of 30-items, demographic characteristics (10-items), knowledge (10-items), attitude (5-items), and practice (5-items). It consisted of both multiple-choice questions and Likert scale items questionnaire.ResultsAmong the participants, 76% reported adequate knowledge, 54.7% reported positive attitude, and 78.9% reported appropriate practice. Statistically significant differences regarding the perceived level of knowl...

Research paper thumbnail of Low detection rate of advanced neoplasia within 5 years after polypectomy of small serrated adenoma

Postgraduate Medical Journal

AimPatients with small serrated adenomas (SAs) (<10 mm) often undergo surveillance colonoscopy... more AimPatients with small serrated adenomas (SAs) (<10 mm) often undergo surveillance colonoscopy before the routine recommended time. We aimed to determine the appropriate surveillance intervals following polypectomy of small SAs for symptomatic patients.MethodWe retrospectively reviewed the data of 638 patients, including 122 cases and 516 controls. Subjects in the case group had small SAs at baseline colonoscopy, including sessile SA/polyps and traditional SAs, while subjects in the control group had negative findings. All patients underwent at least one surveillance colonoscopy during the following 5 years.ResultsThere was no significant difference in the incidence rate of advanced neoplasia between the two groups over a 5-year duration (3.6% vs 2.6%, p=0.455). Moreover, both groups also showed a low prevalence of SA formation over 1–5 years (3.6% vs 1.0%, p=0.145). Patients with baseline SA tended to undergo the first surveillance colonoscopy earlier than those without adenoma ...

Research paper thumbnail of Transcoelomic spread and ovarian seeding during ovulation: A possible pathogenesis of Krukenberg tumor

Journal of Cancer Research and Therapeutics, 2017

Research paper thumbnail of An Up-to-Date Understanding of the “Krukenberg Tumor” Mechanism

Advances in Reproductive Sciences, 2016

Krukenbergtumor is a metastatic ovarian tumor with its primary site being the gastrointestinal tr... more Krukenbergtumor is a metastatic ovarian tumor with its primary site being the gastrointestinal tract. The pathogenesis of Krukenberg tumor formation is still in its hypothetical stage though the current understanding suggests lymphatic, hematogenous and transcoelomic route as the 3 major route of metastasis. There is a lack of description in the literature related to the pathway of metastasis. Here, we intend to search the available literature and provide a thorough review, which may be helpful to the readers to understand the issue of mechanism of Krukenberg tumor metastasis more clearly.

Research paper thumbnail of Transcoelomic spread and ovarian seeding during ovulation: A possible pathogenesis of Krukenberg tumor

Journal of Cancer Research and Therapeutics, 2017

Research paper thumbnail of COVID-19: a National Survey on perceived level of knowledge, attitude and practice among frontline healthcare Workers in Nepal

BMC Public Health

BackgroundThe aim of this study was to determine the knowledge, attitude and practice (KAP) regar... more BackgroundThe aim of this study was to determine the knowledge, attitude and practice (KAP) regarding the COVID-19 among frontline healthcare workers (F-HCWs) working at different hospitals in Nepal and to identify the factors significantly associated with KAP.MethodsWe used a web-based survey, and a convenience sampling method was adopted to collect data from 603 F-HCWs working at different hospitals in Nepal during the first week of June 2020. A self-administered questionnaire was utilized to assess the KAP perceived by the F-HCWs. It was divided into 4-parts consisting of 30-items, demographic characteristics (10-items), knowledge (10-items), attitude (5-items), and practice (5-items). It consisted of both multiple-choice questions and Likert scale items questionnaire.ResultsAmong the participants, 76% reported adequate knowledge, 54.7% reported positive attitude, and 78.9% reported appropriate practice. Statistically significant differences regarding the perceived level of knowl...

Research paper thumbnail of Low detection rate of advanced neoplasia within 5 years after polypectomy of small serrated adenoma

Postgraduate Medical Journal

AimPatients with small serrated adenomas (SAs) (<10 mm) often undergo surveillance colonoscopy... more AimPatients with small serrated adenomas (SAs) (<10 mm) often undergo surveillance colonoscopy before the routine recommended time. We aimed to determine the appropriate surveillance intervals following polypectomy of small SAs for symptomatic patients.MethodWe retrospectively reviewed the data of 638 patients, including 122 cases and 516 controls. Subjects in the case group had small SAs at baseline colonoscopy, including sessile SA/polyps and traditional SAs, while subjects in the control group had negative findings. All patients underwent at least one surveillance colonoscopy during the following 5 years.ResultsThere was no significant difference in the incidence rate of advanced neoplasia between the two groups over a 5-year duration (3.6% vs 2.6%, p=0.455). Moreover, both groups also showed a low prevalence of SA formation over 1–5 years (3.6% vs 1.0%, p=0.145). Patients with baseline SA tended to undergo the first surveillance colonoscopy earlier than those without adenoma ...

Research paper thumbnail of Transcoelomic spread and ovarian seeding during ovulation: A possible pathogenesis of Krukenberg tumor

Journal of Cancer Research and Therapeutics, 2017

Research paper thumbnail of An Up-to-Date Understanding of the “Krukenberg Tumor” Mechanism

Advances in Reproductive Sciences, 2016

Krukenbergtumor is a metastatic ovarian tumor with its primary site being the gastrointestinal tr... more Krukenbergtumor is a metastatic ovarian tumor with its primary site being the gastrointestinal tract. The pathogenesis of Krukenberg tumor formation is still in its hypothetical stage though the current understanding suggests lymphatic, hematogenous and transcoelomic route as the 3 major route of metastasis. There is a lack of description in the literature related to the pathway of metastasis. Here, we intend to search the available literature and provide a thorough review, which may be helpful to the readers to understand the issue of mechanism of Krukenberg tumor metastasis more clearly.

Research paper thumbnail of Transcoelomic spread and ovarian seeding during ovulation: A possible pathogenesis of Krukenberg tumor

Journal of Cancer Research and Therapeutics, 2017

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