Browsing by Author "Khadka, A"
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Publication Common Health Problems and their contributing factors among elderly residing in Changu VDC(Institute of Medicine, 2018) Khadka, A; Darai, AAbstract Introduction: Aging is a normal biological phenomenon, and with the aging process different health issues started. The elderly population experience social isolation due to breakage of various bonds like work relationship, loss of relative and friends. The situation worsens when aged suffer with chronic diseases; lose their physical capabilities and financial insecurity. The objective of the study was to find out the common health problems and their contributing factors residing in Changu. Methods: This is a descriptive study which was conducted among 50 resident of ward number 3 of Changu VDC. A semi-structured questionnaire related to health problems and factors affecting health problems was used to collect information from the respondents. The information was collected by interview technique. Data were analyzed and interpreted according to frequency and percent. Results: The study showed that the majorities (66%) of the respondents were from the age group of 60-69 years and majorities (58%) were female. Among the total respondents, 56% had their spouse alive and most of the respondents had good relationship with their spouse (64%) and offsprings (69%). Few of the respondents (38%) had habit of smoking and only 12% had habit of drinking. The common health problems revealed through this study were gastritis (29%), followed by Asthma (27%), Hypertension (27%), Arthritis (13%), Diabetes Mellitus (10%), Heart disease (5%) and others. Psychological problems were found in few respondents. Depression was found only in 2% and boredom and loneliness in 10% and 5% respectively. The overall common health Problems among elderly were Asthma, Arthritis, Gastritis, Hypertension Diabetes Mellitus and Boredom as answered by the respondents. Conclusion: The above study concludes that most of the respondents were suffered from varieties of problems associated to physical, social, psychological and economic aspect of health Key words: Common Health Problem, elderlyPublication Toothbrush, an Unusual Foreign Body(Kathmandu University, 2021) Bhattarai, A; Adhikari, D; Paudyal, N; Giri, P; Khadka, A; Devkota, YABSTRACT Accidental consumption of foreign body is a common presenting complain among patients especially in young age group. Majority of patients can be discharged safely after reassurance while a fraction of patient requires observation and further management. Here we report a case of a 35-year-old gentleman who presented to the out-patient department of our hospital in June 2021 for accidental ingestion of toothbrush. After detailed history and physical examination upper gastrointestinal endoscopy was planned for the patient. Failed endoscopic removal was considered the indication for surgery. A supraumbilical midline incision was used to remove the toothbrush. Following the surgical removal, he was managed conservatively and was discharged without significant complications. We describe this case in detail in addition to reviewing the pertinent literature. KEY WORDS Endoscopy, Foreign body, Surgery