Browsing by Author "Khadka, Manoj"
Now showing 1 - 4 of 4
Results Per Page
Sort Options
Publication An Outbreak Investigation of Varicella Zoster among Male Military Personnel in a Military Training Centre(Nepal Medical Association, 2022) Karki, Parag; Budhathoki, Lee; Poudel, Anita; Maharjan, Swojay; Khadka, Manoj; Shrestha, Lochana; Paudel, LeelaAbstract Introduction: Chickenpox is an acute, highly infectious disease. Outbreaks can occur in adults in closed institutional settings like hostels and barracks. This study aims to report varicella zoster outbreak among male military personnel in a military training centre. Methods: An outbreak investigation of chickenpox in a military training school and tertiary hospital was conducted. Ethical approval was taken from the Institutional Review Committee (Reference number: 267). Data was collected from February 5, 2020 to April 10, 2020 by questionnaire and clinical examination. Case definitions were prepared as per the Centre for Disease Control and Prevention criteria. Data was entered and analysed in Microsoft Excel 2010. Results: Out of the 167 male personnel in the training centre, 90 (53.89%) were susceptible to varicella and 84 (50.29%) were close contacts. The secondary attack rate of varicella zoster was 21.43% (18 cases). The mean age of the patients was 22.33±1.72 years. The mean days of admission were 5±2.28 days. The most common clinical features were generalised rash in 18 (100%), fever in 15 (83.33%), and body ache in 12 (66.67%) cases. Conclusions: Natural history, clinical, and epidemiological features of varicella zoster in a closed institutional setting was studied with the secondary attack rate being less as compared to other studies.Publication Cardiovascular Complication following Covishield Vaccination in Nepal: A Case Report Authors(Nepal Medical Association, 2021) Basnet, Angela; Ojha, Shiva Kumar; Jha, Suman Kumar; Paudyal, Anjana; Khadka, Manoj; Khadka, Manita; Shrestha, Dhan BahadurAbstract: Nepal started the COVID-19 vaccination on 27 January 2021 with AstraZeneca/Oxford Coronavirus Disease-19 AZD1222 (Covishield) vaccine to control the Coronavirus disease pandemic. The vaccine has a good safety profile, with cardiovascular complications being rare. Herein we report a rare case of cardiovascular complication following Covishield vaccination in a 33 years old female who had dizziness and elevated blood pressure immediately following vaccination and abnormal electrocardiogram showing T wave inversions followed by left bundle branch block. The patient was kept on observation, following which the blood pressure and electrocardiogram changes were normal by seven days. This cardiovascular complication following the vaccination demands further investigation into the adverse event of the vaccine. However, since the benefit of the vaccine outweighs the risk, World Health Organization has recommended the continuity of the vaccine as of now.Publication Empyema Thoracis in a Patient Admitted with COVID-19: A Case Report Authors(Nepal Medical Association, 2021) Basnet, Angela; Chaulagain, Sabin; Thapa, Ashok; Khadka, Manita; Khadka, Manoj; Shrestha, Dhan BahadurAbstract: After almost a year of declaring COVID-19 a global pandemic, unusual presentations of the disease continue to be reported. Very little is known about its association with pleural disease. Here, we present a case of empyema thoracis in a 39-year-old male admitted with COVID-19. The pleural fluid later turned serosanguinous and eventually bleeding from other sites also occurred. During his treatment, antibiotics were given, thoracocentesis was performed and later thoracotomy was done. He died on the 19th day of admission following a hemorrhagic stroke. Pleural disease, although considered atypical and unusual presentation of COVID-19, needs careful and prompt diagnosis and earliest intervention. COVID-19, being a disease that involves multiple systems, and presentation of the disease may eventually lead to circulatory dysfunction and hence should be kept under consideration.Publication Ways to Make Medical Students Competent Professionally: View of Medical Students Authors(Nepal Medical Association, 2021) Khadka, Manoj; Kunwar, BibashAbstract: Medical students in Nepal learn passively by gaining encyclopedic knowledge, with little focus on the application of that knowledge to clinical scenarios and other soft skills like communication. This raises the question that whether medical students will be competent enough to serve their society in the future or not. The article highlights the domains where medical students should focus apart from medical knowledge to be competent enough to meet the health needs of society.