Narendra Bhatta
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View article: Periodontal status of the patients presenting with pulmonary disease in a tertiary health care facility in eastern Nepal
Periodontal status of the patients presenting with pulmonary disease in a tertiary health care facility in eastern Nepal Open
View article: Assessment of Post-Procedure Complications Following Chest Tube Drainage in Pleural Effusion Patients: An Observational Retrospective Study
Assessment of Post-Procedure Complications Following Chest Tube Drainage in Pleural Effusion Patients: An Observational Retrospective Study Open
Background: Pleural effusion is common in routine medical practice due to various underlying diseases. Chest tube drainage is a common therapeutic intervention for managing pleural effusion. Despite being an effective procedure, it carries…
View article: Mobile health teleconsultation and telemedicine in operating outpatient departments during COVID-19 pandemic at a hospital in Eastern Nepal
Mobile health teleconsultation and telemedicine in operating outpatient departments during COVID-19 pandemic at a hospital in Eastern Nepal Open
A BSTRACT Background: Telemedicine provides a means to deliver healthcare across distances, enhancing efficiency and accessibility, especially in low- and middle-income countries. The COVID-19 pandemic highlighted its importance by reducin…
View article: Metabolic Signature and Obstructive Sleep Apnea in Nepalese Patients
Metabolic Signature and Obstructive Sleep Apnea in Nepalese Patients Open
Introduction: Untreated Obstructive Sleep Apnea (OSA) causes sleep related symptoms and also causes increased incidence of RTA, cardiovascular diseases and all cause mortality. Currently OSA has been recognized as the consequence of number…
View article: Letter from Nepal
Letter from Nepal Open
Many centres around the world are at the stage of expanding endobronchial ultrasound (EBUS) services. Our centre was one of the earlier centres to start the services in Nepal, a country in South Asian region which falls under low- and midd…
View article: Diagnostic Yield of Bronchoalveolar Lavage in Nepalese Patients Presenting with Chronic Cough with Normal Radiological Imaging in Tertiary Care Hospital
Diagnostic Yield of Bronchoalveolar Lavage in Nepalese Patients Presenting with Chronic Cough with Normal Radiological Imaging in Tertiary Care Hospital Open
Background: Cough is one of the most common symptoms that lead patients to seek medical attention. The diagnosis of chronic cough is complex and challenging. In our setting, a large proportion of patients with cough are treated empirically…
View article: Study of diagnostic utility of Xpert MTB/Rif test on pleural fluid in the evaluation of patients presenting with Pleural Tuberculosis in Nepal
Study of diagnostic utility of Xpert MTB/Rif test on pleural fluid in the evaluation of patients presenting with Pleural Tuberculosis in Nepal Open
A BSTRACT Introduction: Existing tests for the diagnosis of pleural tuberculosis (TB) have major limitations in terms of accuracy, time to diagnosis and drug resistance testing. A test which can diagnose pleural TB and detect resistance, l…
View article: Pleural Effusion: An Uncommon Manifestation of Hepatitis
Pleural Effusion: An Uncommon Manifestation of Hepatitis Open
Hepatitis A virus infection is the commonest form of hepatitis in pediatric age group and common health problem in developing countries due to poor sanitation. The clinical spectrum of hepatitis A virus infection ranges from asymptomatic i…
View article: Navigating challenges in management of drug resistant tuberculosis: Case experience from Nepal
Navigating challenges in management of drug resistant tuberculosis: Case experience from Nepal Open
Drug resistant tuberculosis (DR TB) a severe form of TB is a disease of concern. Its treatment requires multiple toxic drugs for prolonged duration because of which, often have complicated course requiring close supervision, continuous enc…
View article: Acute Pneumonitis after instillation of Povidone iodine for Chemical Pleurodesis in Secondary Spontaneous Pneumothorax: A case report
Acute Pneumonitis after instillation of Povidone iodine for Chemical Pleurodesis in Secondary Spontaneous Pneumothorax: A case report Open
Secondary spontaneous pneumothorax is common in adult and is often life threatening. Surgical intervention is preferred, however chemical pleurodesis is also widely recommended in the treatment of recurrent pneumothorax of different etiolo…
View article: Small Cell Lung Carcinoma with Pancoast Syndrome: A Case Report
Small Cell Lung Carcinoma with Pancoast Syndrome: A Case Report Open
Small cell lung cancer mostly arises centrally in the large bronchi. The literature search revealed very limited cases of small cell lung cancer arising at the upper part of the pulmonary sulcus near the thoracic inlet as superior sulcus t…
View article: Implementation, effectiveness and monitoring of telemedicine program in Bhutanese refugees camp in Eastern Nepal
Implementation, effectiveness and monitoring of telemedicine program in Bhutanese refugees camp in Eastern Nepal Open
Background: Telemedicine, a part of Medical Informatics used to consult patients from remote places either via videoconferencing or transferring data and resources via the Store and Forward method, makes the quality of healthcare in low-an…
View article: Study of the impact of a telemedicine service in improving pre-hospital care and referrals to a tertiary care university hospital in Nepal
Study of the impact of a telemedicine service in improving pre-hospital care and referrals to a tertiary care university hospital in Nepal Open
Background: Telemedicine is a process which involve medical experts to exchange valid information for diagnosis, clinical management, treatment and counseling for both healthcare workers and patients remotely in rural setting from urban he…
View article: Mesothelioma with Nonbacterial Thrombotic Endocarditis: A Case Report
Mesothelioma with Nonbacterial Thrombotic Endocarditis: A Case Report Open
Non-bacterial thrombotic endocarditis is a rare condition characterized by noninfectious vegetation on cardiac valves which are often associated with malignancy. It often presents with features of embolism rather than cardiac failure. Thes…
View article: Gender Based Differences in Risks and Comorbidities in Patients Hospitalized with Acute Exacerbation of COPD: A Retrospective Observational study in Eastern-Nepal
Gender Based Differences in Risks and Comorbidities in Patients Hospitalized with Acute Exacerbation of COPD: A Retrospective Observational study in Eastern-Nepal Open
Background Acute Exacerbation of Chronic Obstructive Pulmonary Disease (AECOPD) share a complex relationship with gender, risk, and co-morbidities. There is paucity of data on the gender-based differences in the prevalence of risks and co-…
View article: Using Co-design Process to Develop an Integrated Self-management Intervention Program for COPD patients in Nepal.
Using Co-design Process to Develop an Integrated Self-management Intervention Program for COPD patients in Nepal. Open
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020…
View article: Using a co-design process to develop an integrated model of care for delivering self-management intervention to multi-morbid COPD people in rural Nepal
Using a co-design process to develop an integrated model of care for delivering self-management intervention to multi-morbid COPD people in rural Nepal Open
Background People with chronic obstructive pulmonary disease (COPD) in Nepal are not receiving adequate support to self-manage their chronic conditions, and primary health care can play a key role in the effective management of these. In t…
View article: Success of Using Iodopovidone as a Sclerosing Agent for Chemical Pleurodesis in a Tertiary Care Center: A Descriptive Cross-Sectional Study
Success of Using Iodopovidone as a Sclerosing Agent for Chemical Pleurodesis in a Tertiary Care Center: A Descriptive Cross-Sectional Study Open
Introduction: Pleurodesis is a procedure to achieve symphysis between the two layers of pleura aimed at preventing the accumulation of either air or fluid in the pleural space. In Nepal, intrapleural instillation of the chemical sclerosing…
View article: Evaluating the feasibility and acceptability of a co-design approach to developing an integrated model of care for people with multi-morbid COPD in rural Nepal: a qualitative study
Evaluating the feasibility and acceptability of a co-design approach to developing an integrated model of care for people with multi-morbid COPD in rural Nepal: a qualitative study Open
Objective To understand the feasibility and acceptability of a co-design approach to developing an integrated model of healthcare for people with multi-morbid chronic obstructive pulmonary disease (COPD) in rural Nepal. Settings A rural se…
View article: Bronchoscopic visualization of a cavity in entirety: an unusual finding
Bronchoscopic visualization of a cavity in entirety: an unusual finding Open
Key message It is unusual to be able to visualize an entire cavity with such clarity.
View article: Levels and determinants of health literacy and patient activation among multi-morbid COPD people in rural Nepal: Findings from a cross-sectional study
Levels and determinants of health literacy and patient activation among multi-morbid COPD people in rural Nepal: Findings from a cross-sectional study Open
A high proportion of multi-morbid COPD peoples had low levels of HL and were less activated than what would be required to self-manage COPD. These were in turn associated with socioeconomic factors and poor illness perception. The findings…
View article: Rare Cause of Tension Pneumothorax: Hydatid Disease of Lung: A Case Report
Rare Cause of Tension Pneumothorax: Hydatid Disease of Lung: A Case Report Open
Lung is the second most common site of hydatid disease, after liver. Pleural involvement of hydatiddisease can occur, and usually follows the rupture of a pulmonary or hepatic hydatid cyst into thepleural space. When a patient presents wit…
View article: Self-management practice, associated factors and its relationship with health literacy and patient activation among multi-morbid COPD patients from rural Nepal
Self-management practice, associated factors and its relationship with health literacy and patient activation among multi-morbid COPD patients from rural Nepal Open
View article: Facilitators and barriers to the self-management of COPD: a qualitative study from rural Nepal
Facilitators and barriers to the self-management of COPD: a qualitative study from rural Nepal Open
Objective To understand the facilitators and barriers to the self-management of chronic obstructive pulmonary disease (COPD) in rural Nepal. Settings Community and primary care centres in rural Nepal. Participants A total of 14 participant…
View article: Self-management practice, associated factors and its relationship with Health Literacy and Patient Activation among multi-morbid COPD patients from rural Nepal
Self-management practice, associated factors and its relationship with Health Literacy and Patient Activation among multi-morbid COPD patients from rural Nepal Open
Background Chronic Obstructive Pulmonary Disease (COPD) is a progressive and debilitating condition that affects individuals' quality of life . COPD self-management and supports provided by carers is key to the quality of life people livin…
View article: Clinical Profile and Prognostication in Patients Admitted at Medical Intensive Care Unit at B. P. Koirala Institute of Health Sciences
Clinical Profile and Prognostication in Patients Admitted at Medical Intensive Care Unit at B. P. Koirala Institute of Health Sciences Open
Introduction: Critical Care management is an important issue in developing countries where Medical Intensive Care Units (MICU) patients have comorbidity or complications of multisystem involvement.
Objectives: The objective of study was t…
View article: Overlap of Sleep Disorders and Chronic Respiratory Diseases: An Emerging Health Dilemma
Overlap of Sleep Disorders and Chronic Respiratory Diseases: An Emerging Health Dilemma Open
Introduction: The burden of Overlap Syndrome (coexistence of sleep-related breathing disorders in patients with respiratory diseases) is high in developing countries, and such a phenomenon implies higher morbidity. The study was conducted …
View article: CHEMICAL PLEURODESIS WITH IODOPOVIDONE: EXPLORING ITS UTILITY IN THE CONTEXT OF LACK OF THORACOSCOPY
CHEMICAL PLEURODESIS WITH IODOPOVIDONE: EXPLORING ITS UTILITY IN THE CONTEXT OF LACK OF THORACOSCOPY Open
investigated the role of on an model Ovalbumin (OVA) -sensitized and challenged allergic airway inflammation in both of BALB/c and C57BL/6 mice.Nrf2-/-and Nrf2+/+ mice were used in both of BALB/c and C57BL/6 mice.Allergic airway inflammati…
View article: METASTATIC HEMORRHAGIC TUMOR NECROSIS IN THE LUNG FROM A SARCOMATOID RENAL CELL CARCINOMA IN A 32 YEAR OLD MALE: A CASE REPORT
METASTATIC HEMORRHAGIC TUMOR NECROSIS IN THE LUNG FROM A SARCOMATOID RENAL CELL CARCINOMA IN A 32 YEAR OLD MALE: A CASE REPORT Open
investigated the role of on an model Ovalbumin (OVA) -sensitized and challenged allergic airway inflammation in both of BALB/c and C57BL/6 mice.Nrf2-/-and Nrf2+/+ mice were used in both of BALB/c and C57BL/6 mice.Allergic airway inflammati…
View article: Self-management practice, associated factors and its relationship with Health Literacy and Patient Activation among multi-morbid COPD patients from rural Nepal
Self-management practice, associated factors and its relationship with Health Literacy and Patient Activation among multi-morbid COPD patients from rural Nepal Open
Background Chronic Obstructive Pulmonary Disease (COPD) is a progressive and debilitating condition that affects individuals' quality of life . COPD self-management and supports provided by carers is key to the quality of life people livin…