Browsing by Author "Chaudhary, Arun Kumar"
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Publication Alcoholic Liver Disease among Patients Admitted to the Department of Internal Medicine of a Tertiary Care Centre: A Descriptive Cross-sectional Study(Nepal Medical Association, 2022) Chaudhary, Ashlesha; Chaudhary, Arun Kumar; Chaudhary, Aashutosh; Bhandari, Abashesh; Dahal, Sujata; Bhusal, SuzitAbstract Introduction: Alcoholic liver diseases comprise a spectrum of liver diseases including fatty liver, alcoholic hepatitis, and cirrhosis. Diagnosis at advanced stages is frequent for this condition and data regarding the prevalence of such patients at early stages are limited. The aim of this study is to find out the prevalence of alcoholic liver disease among patients admitted to the Department of Internal Medicine of a tertiary care centre. Methods: A descriptive cross-sectional study was conducted among 538 patients admitted to the Department of Internal Medicine of a tertiary care centre in Nepal between 3rd November, 2021 and 22nd February, 2022 after receiving ethical approval from the Institutional Review Committee of the hospital (Reference number: 006-078/079). Convenience sampling was done. Data were collected and entered in Microsoft Excel and analysed using Statistical Package for the Social Sciences version 24.0. Point estimate at 95% Confidence Interval was calculated along with frequency and percentage for binary data along with mean and standard deviation for continuous data. Results: Among 538 patients, alcoholic liver disease was seen in 42 (7.80%) (5.53-10.07 at 95% Confidence Interval). The mean age of the patients was 53.85±10.88 years. Among these patients 25 (59.52%) were males and 17 (40.47%) of them were females. Conclusions: Our study showed that the prevalence of alcoholic liver disease was lower as compared to similarly reported literature.Publication Alcoholic Liver Disease among Patients Admitted to the Department of Internal Medicine of a Tertiary Care Centre: A Descriptive Cross-sectional Study Authors(Nepal Medical Association, 2022) Chaudhary, Ashlesha; Chaudhary, Arun Kumar; Chaudhary, Aashutosh; Bhandari, Abashesh; Dahal, Sujata; Bhusal, SuzitAbstract: Introduction: Alcoholic liver diseases comprise a spectrum of liver diseases including fatty liver, alcoholic hepatitis, and cirrhosis. Diagnosis at advanced stages is frequent for this condition and data regarding the prevalence of such patients at early stages are limited. The aim of this study is to find out the prevalence of alcoholic liver disease among patients admitted to the Department of Internal Medicine of a tertiary care centre. Methods: A descriptive cross-sectional study was conducted among 538 patients admitted to the Department of Internal Medicine of a tertiary care centre in Nepal between 3rd November, 2021 and 22nd February, 2022 after receiving ethical approval from the Institutional Review Committee of the hospital (Reference number: 006-078/079). Convenience sampling was done. Data were collected and entered in Microsoft Excel and analysed using Statistical Package for the Social Sciences version 24.0. Point estimate at 95% Confidence Interval was calculated along with frequency and percentage for binary data along with mean and standard deviation for continuous data. Results: Among 538 patients, alcoholic liver disease was seen in 42 (7.80%) (5.53-10.07 at 95% Confidence Interval). The mean age of the patients was 53.85±10.88 years. Among these patients 25 (59.52%) were males and 17 (40.47%) of them were females. Conclusions: Our study showed that the prevalence of alcoholic liver disease was lower as compared to similarly reported literature.Publication Epidemiology and Management of Open Fractures in a Tertiary Care Hospital in Nepal: An Observational Study(Nepal Medical Association, 2025) Maharjan, Sagar; Chaudhary, Arun Kumar; Shrestha, Rohit; Shrestha, Pramit Ram; Gautam, Prabesh; Basi, Ashkal; Malla, Manasil; Acharya, Shreedhar Prasad; Khadka, Sushant KumarAbstract Introduction: An open fracture is an orthopedic emergency that requires immediate resuscitation and stabilization. Understanding presentation and management patterns can help prepare in emergency settings. This retrospective descriptive cross-sectional study stated the demographic profile, management pattern, and seasonal distribution of patients presenting with open fractures. Methods: An observational cross-sectional study was conducted in a tertiary care center, Medical records of all patients with open fractures who underwent immediate orthopedic interventions between January 2021 and December 2023 were evaluated retrospectively after obtaining ethical approval from the Institutional Review Committee (Reference number: 29/24). Descriptive statistics were used to analyze data. Results: The study included a total of 133 cases of open fractures managed during the study period. Out of these, male patients were 104 (78.20%) and female patients 29 (21.80%), with a median age of 35.00 (25.00 - 42.00) years. Mode of injuries included road traffic accidents 53 (39.85%) and falls 32 (24.06%). Tibia fracture was seen in 56 (42.11%) cases, and spinal anesthesia was used in 52.63% of cases. External fixators 36 (27.07%) and intramedullary nails 29 (21.80%) were the primary surgical interventions. Conclusions: Male patients with open fractures were more in comparison to female patients. Road traffic accidents were the most common cause of injury. Gustilo IIIB fractures were the most frequent kind of injury with tibia most commonly involved. External fixator application was the most common procedure for immediate stabilization.Publication Hydrocele among Patients undergoing Surgery in the Department of Surgery in a Tertiary Care Center: A Descriptive Cross-sectional Study(Nepal Medical Association, 2024) Deo, Kishor; Chaudhary, Arun Kumar; Shrestha, Reshika; Chaudhary, Aashutosh; Adhikari, Bindira; Bista, Apeksha; Jha, Devesh; Shakya, Niliza; Maharjan, Suresh; Shrestha, Manisha; Shrestha, Ashish; Dahal, Isha; Sutihar, AnshuAbstract Introduction: Hydrocele, an accumulation of serous fluid within the remnant of the processus vaginalis, is a common cause of painless scrotal enlargement. While prevalent, few studies have been conducted to assess the extent and risk factors of hydrocele in Nepal. This study aimed to assess the prevalence and associated factors of hydrocele among patients undergoing the surgery department at a tertiary care center in Nepal. Methods: This descriptive cross-sectional study was conducted at a tertiary care center. Data were retrospectively collected from medical records over one year (2021 July to 2022 June), including all patients undergoing surgery in the general surgery department. Ethical Approval was received from the Institutional Review Committee of the same institute (Reference number: 820/2080/81) Cases of hydrocele surgery were identified, and relevant data were extracted using a structured proforma. Descriptive analyses were performed using Microsoft Excel 2016. Results: Out of 1812 surgeries, 95 (9.72%) were hydrocele surgeries. Of these, 94 (98.95%) were non-communicating hydroceles, 79 (83.16%) were unilateral, and 90 (94.74%) showed positive transillumination tests. The mean age of patients was 50.84 ± 17.02 years, with the highest number of cases in the 46-55 age group (20%). Postoperative complications occurred in 19 (20%) patients, with seroma and surgical site infection being the most common (31.58% each). Conclusions: Hydrocele surgeries comprised a significant portion (5.24%) of surgical cases at the tertiary care center, with the majority being non-communicating and unilateral types.Publication Lumbar Disc Degenerative Disorder among Patients Undergoing Magnetic Resonance Imaging in a Tertiary Care Centre: A Descriptive Cross-sectional Study(Nepal Medical Association, 2022) Dev, Binit; Shah, Ashutosh; Chaudhary, Aashutosh; Yadav, Ajay Kumar; Jha, Subash Chandra; Chaudhary, Arun KumarAbstract Introduction: Magnetic resonance imaging is the standard imaging modality for detecting disc pathology due to its advantage of lack of radiation, multiplanar imaging capability, excellent spinal soft-tissue contrast, and precise localization of intervertebral discs changes. The aim of the study is to find out the prevalence of lumbar disc degenerative disorder among patients undergoing magnetic resonance imaging in a tertiary care hospital. Methods: A descriptive cross-sectional study was conducted in the Department of Radiodiagnosis and Interventional Radiology of a tertiary care centre among patients with complaints of low back pain from 24th May, 2021 to 31st December, 2021 in a tertiary care hospital. Ethical clearance was taken from the Institutional Review Committee (Reference number: 134/2077-78). A sample size of 899 was taken and convenience sampling was done. Collected data were entered and analyzed on Statistical Package for the Social Sciences version 22.0. Point estimate at 95% Confidence Interval was calculated along with frequency and percentage for binary data and mean with standard deviation for continuous data. Results: Among 899 patients undergoing magnetic resonance imaging, the prevalence of lumbar disc degenerative disorder was found to be 155 (17.24%) (14.77-19.70 at 95% Confidence Interval). Conclusions: The prevalence of lumbar disc degenerative disorder among patients undergoing magnetic resonance in our study was lower when compared to other similar studies conducted in similar settings.