Browsing by Author "Dhakal, Bikrant"
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Publication Acne among Patients visiting Outpatient Department of Dermatology Centres(Nepal Medical Association, 2023) Dhakal, Bikrant; Basnet, Rabin; Shrestha, Bibeka; Yadav, Birendra Kumar; Khatiwada, Bidur; Goit, Raman; Neupane, Dinesh; Kharal, KrishnaAbstract Introduction: Acne vulgaris is a common chronic inflammatory skin disease affecting the pilosebaceous unit. The clinical manifestations of acne include the development of comedones, papules, and pustules. Although generally considered benign, acne can have psychological impacts and cause disfiguring scars. The aim of this study was to find out the prevalence of acne among patients visiting outpatient department of dermatology centres. Methods: A descriptive cross-sectional study was conducted among patients visiting tertiary care skin centres from 15 June 2023 to 15 August 2023. The ethical approval was obtained from the Institutional Review Committee. The severity of acne severity and scarring was determined. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval. Results: Among 2036 patients, acne was found in 386 (18.96%) (17.26-20.66, 95% Confidence Interval). The majority of participants have acne scar grade 2 (65.20%). Conclusions: The prevalence of acne among patients was found to be higher than in other studies done in similar settings.Publication Migration of Medical Doctors from Nepal: Analyzing Trends and Policy Implications(Nepal Medical Association, 2024) Karki, Lochan; Dhakal, Bikrant; Bhandari, Kailash Kumar; Bhusal, Suzit; Chaudhary, AshleshaAbstract One way migration of health care professionals especially from low-income countries like Nepal has become a concerning issue where the already fragile health system of the country faces challenges of losing skilled health care professionals to high-income countries. This trend analysis provides insights into the dynamics of Nepal's healthcare workforce migration, it offers a tailored understanding of factors influencing migration patterns, and its impact on the general population of the country and globally. It helps formulate targeted policies for workforce retention, resource planning, and addressing the country's healthcare needs and comparison with the global context. Analyzing the migration trends of medical professionals enhances medical literature by offering a comprehensive understanding of the factors affecting healthcare systems, public health, economics, education, and policy development. This knowledge plays a vital role in shaping future policies in the field of medicine in Nepal.Publication Patterns of Skin Disease among Prisoners in Central Prison in Nepal: A Descriptive Cross-sectional Study(Nepal Medical Association, 2024) Dhakal, Bikrant; Pangeni, Paras Modi; Maharjan, Prashanna Man; Rijal, Shrija; Wagle, Subash; Thapa, Neeraj; Shrestha, Bhagat LalAbstract Introduction: Skin diseases pose a significant health challenge globally, especially within prison settings where overcrowding and inadequate sanitation create a breeding ground for infections. Prisons, as part of society, exist in a dynamic equilibrium, serving as potential sources of infections that can spread beyond their confines. Despite facing similar challenges, there is a dearth of research focusing on skin diseases among inmates in Nepal. This study aims to assess patterns of skin diseases among prisoners. Methods: This was a descriptive cross-sectional study at the central prison, Kathmandu from December 2023 to March 2024. All patients with skin disease visiting the consultant Dermatologist and giving consent were included in this study. Ethical approval was obtained from the Nepal Health Research Council. Data were entered in Microsoft Excel 2010 and analysis was done by the Statistical Package for the Social Sciences software. Data were presented in the form of frequency and percentage. Results: A total of 253 patients visited the consultant Dermatologist for skin conditions. Out of which, eczema was 67 (26.50%), fungal infections 57 (22.50%), and bacterial infections 51 (20.10%). The mean age of the respondents was 34.21±12 years. Conclusions: The fungal and bacterial infections were common among the prisoners.