Sushma Kunwar
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View article: Exploring the barriers and facilitators of mental health service utilization at primary health care facilities in Syangja district Nepal: Perspective of patients and health service providers
Exploring the barriers and facilitators of mental health service utilization at primary health care facilities in Syangja district Nepal: Perspective of patients and health service providers Open
Background: Access to and use of mental health services remain limited in low- and middle-income countries. This insufficient utilization presents a significant challenge to the proper management and treatment of mental illness. Identifyin…
View article: Prevalence of thrombocytopenia in children with dengue fever in a tertiary care hospital
Prevalence of thrombocytopenia in children with dengue fever in a tertiary care hospital Open
Background Dengue fever is an arthropod borne viral disease transmitted by bite of infected mosquito Aedes aegypti. Almost half of the world population is in risk of dengue and in Nepal dengue fever is endemic and infection occurs each yea…
View article: Morbidity and Mortality Pattern in NICU of Tertiary Care Hospital: A Retrospective Study
Morbidity and Mortality Pattern in NICU of Tertiary Care Hospital: A Retrospective Study Open
Introduction: Neonatal period is a very vulnerable period of life as it accounts for high morbidity and mortality and most diseases common in neonatal period are preventable. Objective of this study was to analyze the pattern of morbidity …
View article: From Hallucinations to Help: Can Retrieval‑Augmented Generation (RAG) Deliver Trustworthy Clinical Artificial Intelligence?
From Hallucinations to Help: Can Retrieval‑Augmented Generation (RAG) Deliver Trustworthy Clinical Artificial Intelligence? Open
KEY MESSAGES- Standalone AI systems risk clinical harm due to inaccuracies (“hallucinations”) and biases, limiting their reliability for diagnosis or documentation.- Retrieval-augmented generation (RAG) improves safety by grounding AI outp…
View article: From Hallucinations to Help: Can Retrieval‑Augmented Generation (RAG) Deliver Trustworthy Clinical Artificial Intelligence?
From Hallucinations to Help: Can Retrieval‑Augmented Generation (RAG) Deliver Trustworthy Clinical Artificial Intelligence? Open
KEY MESSAGES- Standalone AI systems risk clinical harm due to inaccuracies (“hallucinations”) and biases, limiting their reliability for diagnosis or documentation.- Retrieval-augmented generation (RAG) improves safety by grounding AI outp…
View article: Rare presentation of Eccrine Porocarcinoma
Rare presentation of Eccrine Porocarcinoma Open
Eccrine porocarcinoma is a tumor of the sweat gland that mostly develops from an existing benign eccrine poroma. It is a rare cutaneous malignancy with a high risk of metastasis and recurrence. Known to affect the elderly population in gen…
View article: Soft tissue coverage of delayed presentation of meningomyocele by modified keystone flap
Soft tissue coverage of delayed presentation of meningomyocele by modified keystone flap Open
Neural tube defects are congenital abnormalities of neural development with a wide spectrum of clinical manifestations. Meningomyelocele a type of spina bifida , in which the spinal cord and meninges protrude through an opening. Early surg…
View article: Single-Stage Total Earlobe Reconstruction in a Young Male: A Case Report
Single-Stage Total Earlobe Reconstruction in a Young Male: A Case Report Open
This case report details a young male patient’s successful single-stage total earlobe reconstruction. The patient, a 24-year-old male, presented with a near complete earlobe loss following a traumatic injury. Utilizing an innovative surgic…
View article: Primary malignant melanoma of the lung; a case report and literature review
Primary malignant melanoma of the lung; a case report and literature review Open
View article: Fingertip replantation using artery-only anastomosis: case series
Fingertip replantation using artery-only anastomosis: case series Open
The fingertip is a complex organ compacted with precise functional roles of fine movements and fine touch sensory functions. Fingertip injury commonly occurs in machinery work, and presents as crush injuries or amputations. Even though it …
View article: Osteomyelitis of phalanx and salvage using the Masquelet technique
Osteomyelitis of phalanx and salvage using the Masquelet technique Open
A fingertip has precise functional roles of fine movement, touch, and sensory functions. Its injury majorly hampers not only the functional aspect but also carries great aesthetic significance. Osteomyelitis is a serious bone infection tha…
View article: Outbreak Investigation of Dengue in Byas Municipality, Tanahun, Gandaki Province, Nepal
Outbreak Investigation of Dengue in Byas Municipality, Tanahun, Gandaki Province, Nepal Open