Browsing by Author "Bhattarai, M"
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Publication Descending necrotizing mediastinitis: A fatal complication of neglected esophageal foreign body(Kathmandu University, 2007) Ghimire, A; Bhattarai, M; Kumar, M; Wakode, PTDescending necrotising mediastinitis due to a neglected esophageal foreign body is uncommon. It is a lethal disease if it develops with full blown clinical picture. A case is reported of descending necrotising mediastinitis caused by a foreign body in oesophagus which is rarely reported in world literature. It is emphasized that prompt diagnosis and aggressive surgical mediastinal drainage is very important for the survival of these patients. Delayed diagnosis and treatment in our case may have been the cause of death of the patient. Delayed diagnosis in our case is due to the unavailability proper health facility in remote area in developing countries like Nepal. Key words: Descending necrotising mediastinitis, foreign body, oesophagus, fatal complicationPublication General Practice (Family Medicine): meeting the health care needs of Nepal and enriching the medical education of undergraduates(Kathmandu University, 2005) Lewis, M; Smith, S; Paudel, R; Bhattarai, MNAPublication Prevalence of White Coat Hypertension among the Patients Visiting in a Tertiary Care Center, Kathmandu, Nepal(Kathmandu University, 2019) Bhattarai, M; Sainju, NK; Bhandari, B; KC, V; Karki, DBABSTRACT Background Hypertension is a major cardiovascular risk factor. White coat hypertension refers to elevated office blood pressure but normal out of office blood pressure. White-coat hypertension has a risk of cardiovascular events more than normotensives. Objective To identify the prevalence of white coat hypertension among patients presented in the cardiology department. Method The descriptive cross-sectional study was conducted among 165 patients who visited the cardiology outpatient department of Kathmandu Medical College and Teaching Hospital from December 2017 to November 2018. Blood pressure was measured at the hospital, and ambulatory blood pressure device was used to monitor 24hrs pattern. Hypertension is classified as per recent guideline. Data were entered and analysed using Statistical Package for social sciences version 20. Result Out of 165 ambulatory blood pressure monitoring conducted patients, 140 participants were enrolled in the study based on inclusion criteria. Among them 55% (77) were male, and 45% (63) were female. Age ranged from 18-78 years with a mean of 43.82 ± 12.31 years. Overall among 140 participants 14.28% had white coat hypertension, however, after excluding twenty-two high normal group, among 118 participants who were hypertensive according to office BP, 16.9% (20) had white coat hypertension, and 33.57% of patients did not have nocturnal dipping of blood pressure. Conclusion The white coat hypertension is prevalent among around one-sixth of hypertensive patients visiting tertiary care centre, and one third have non-dipping which needs to be considered in the management of hypertension. KEY WORDS Ambulatory blood pressure monitoring, Non-dipping, White coat hypertensionPublication Socioeconomic and Nutritional Status of Children with Pyodermas(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2012) Kharel, C; Pandey, S S; Agrawal, S; Bhattarai, MNA Keywords: Pyoderma, socio-economic status, nutritional factor