Browsing by Author "Dhungana, A"
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Publication A Study on Variations of Branching Pattern of Renal Artery with its Clinical Significance(Kathmandu University, 2019) Mansur, DI; Karki, S; Mehta, DK; Shrestha, A; Dhungana, AABSTRACT Background The kidneys are supplied by a single renal artery originating from abdominal aorta. However, recent literature reports great variations in renal blood supply. Hence, it becomes mandatory for the clinicians to understand the abnormality and variations in the renal vasculature. Objective To evaluate the branching pattern of renal artery and its variations. Method The study consisted of Computed Topographic images of 206 kidneys. Numbers and branching pattern of renal artery were recorded. The data was analyzed for presence or absence, source of origin and type of accessory renal artery. Result The present study revealed that 73.79% of kidneys were supplied by a single renal artery, 25.72% by double renal artery and 0.49% by triple renal artery. The hillar branching pattern was recorded in 38.83% and early branching pattern was in 34.95%. The presence of accessory renal artery was recorded in 26.21%. They were originated from abdominal aorta in 22.81% and 3.40% from main renal artery. The prevalence of superior polar artery was found in 6.79%, hilar in 10.19% and inferior polar in 9.22%. Conclusion The knowledge of variations of renal artery becomes essential for the clinician to plan the adequate surgical procedures and to avoid any vascular complication. KEY WORDS Abdominal aorta, Accessory renal artery, Renal arteryPublication Impact of cancer on Nepalese patients and their caretakers(Institute of Medicine, 2018) Dhungana, AAbstract Introduction: Cancer is today’s burning healthcare issue. Disease itself as well as side effects from treatment has massive impact on patients’ lives. Tragic disease consequences happen, further worsened by inevitable adverse reactions of treatment. This study attempts to measure the various impact of disease among Nepalese cancer patients and their caretakers. Methods: This was a hospital based descriptive cross sectional study conducted in Bhaktapur Cancer Hospital for two months on l98 adult cancer patients and 20 caretakers. Face to face interview was done with semi structured interview schedule, 0-10 Numeric Pain Intensity Scale, Kuppuswamy’s Socioeconomic Status Scale and Beck’s Depression Inventory. Data entry and analysis was done on IBM SPSS V20. Results: Disease was seen in advanced age group with no sex wise variations. Majority was married, literate, from rural area, of upper caste and upper lower socioeconomic status. Cancer of lung, rectum and bile duct were more frequent in male in contrary to that of breast, ovary and cervix in female. Majority suffered from various impact of disease and side effects of the treatment like pain, depression, fatigue, weight loss, diminished physical activity and financial burden. Family members were equally prone to depression. Conclusion: Patients and their families are cosufferers in the battle against cancer. To confront the mounting impact of cancer epidemic in Nepal, cancer should be given high priority in national health programs, and population based cancer registry should be immediately established. Key words: Cancer, Caretakers, Depression, Nepalese patients, Pain, Physical activity, Side effects