Browsing by Author "Dutta, Heempali Das"
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Publication Comparison of Cognition between Elderly with Sensorineural Hearing Loss and Normal Hearing for Age(Institute of Medicine, 2022) Gurung, Bikash; Rayamajhi, Pabina; Dutta, Heempali DasABSTRACT Introduction: Age related hearing loss starts at mid to late adulthood. With ageing, cognitive ability also declines. The aims of this study were to assess, compare and correlate cognition of elderly people having bilateral moderate to profound sensorineural hearing loss with the population of normal hearing for age. Methods: This observational analytical study included 25 elderly participants between 55 to 75 years of age in each group; Hearing loss Group with moderate to profound sensorineural hearing loss and Normal hearing Group with normal hearing. Based on pure tone audiometry, hearing loss was classified into moderate (41-60 dB), severe (61-80 dB) and profound (81 and above). Cognition status was assessed using a Nepali version of Mini-mental state examination and classified into no cognitive impairment, mild cognitive impairment and severe cognitive impairment. Comparison and correlation of the cognitive impairment was done between the groups. Results: In Hearing loss Group, 8 (32%) participants and in Normal Hearing Group, 3 (12%) participants had mild cognitive impairment. Means of total Mini-mental state examination scores between the two groups had statistically significant difference (p=0.02) but no significant correlation (Kendall tau b =0.20) between age related hearing loss and cognitive impairment was found. Conclusion: Though cognitive impairment was found more in participants with age related hearing loss, there was no correlation between age related hearing loss and cognitive impairment. Keywords: Age-related hearing loss, cognitive impairment, mini-mental state examinationPublication Prevalence of Foreign Body Aspiration in Children in a Tertiary Care Hospital(Nepal Medical Association, 2021) Dongol, Kripa; Neupane, Yogesh; Dutta, Heempali Das; Gyawali, Bigyan Raj; Kharel, BijayaAbstract: Introduction: Foreign body aspiration is a common problem in children with signifi cant mortality and morbidity. This study aims to determine the prevalence of foreign body aspiration in children in a tertiary care hospital of Nepal. Methods: A descriptive cross-sectional study was conducted at Tribhuvan University Teaching Hospital from April 2010 to March 2016 after obtaining ethical approval from Institutional Review Committee (Reference number- 08(6-11)E277/78). All children of age up to 15 years with suspected foreign body aspiration were included. The data was collected from the medical record section and entered in Microsoft Excel. The descriptive statistical analysis was performed. Results: A total of 26,294 patients were included in the study. The prevalence of foreign body aspiration in children was found to be 98 (0.37%). On rigid bronchoscopy, 82 patients (83.6%) were confirmed to have a foreign body in the airway. The peak incidence of foreign body aspiration was seen in patients of age group one to two years. The commonest foreign body in the airway was a peanut. Conclusions: The prevalence of foreign body aspiration in children was low, which is similar to other studies. Foreign body aspiration may lead to dreadful complications. Therefore, both the clinicians and the public need to be cautious about it.