Browsing by Author "Koirala, R"
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Publication Dementia Symptoms among Senior Citizens Living in Geriatric Homes of Kathmandu Valley(Kathmandu University, 2021) Singh, DR; Parajuli, P; Hug, J; Nath, D; Koirala, R; Mandal, RABSTRACT Background With increasing age, the older population becomes more susceptible to mental disorders. It is important to recognize and develop an understanding of psychiatric morbidity particularly among the residents of geriatric homes in resource-poor settings. Objective To assess the prevalence and associated factors of dementia symptoms among Nepalese senior citizens living in geriatric homes of Kathmandu valley. Method A cross-sectional study was conducted among 304 senior citizens living in geriatric homes of Kathmandu valley. Cognitive Impairment Test (CIT), was used to assess dementia symptoms. Bivariate and multivariate logistic regressions were performed. All the variables that were significant at p < 0.05 level in the bivariate analysis were included in the multivariate regression model and statistical significance was declared at p < 0.05 with a 95.00% confidence interval (CI). Result This study showed 75.65%, of the participants, had dementia symptoms. In the multivariate logistic regression analysis, female respondents (AOR=2.94, 95% CI=1.31-6.57), respondents never received geriatric allowances (AOR=2.46, 95% CI=1.22-4.98), respondent’s history of alcohol consumption habits (AOR=2.04, 95% CI=1.01-4.11) and non-vegetarian diet habits (AOR= 2.31, 95% CI=1.12-4.76) were found more likely to had higher dementia symptoms whereas, literate participants (AOR=0.19, 95% CI=0.08-0.43) were less likely to had dementia symptoms. Conclusion The high prevalence of dementia symptoms among senior citizens living in geriatric homes in the Kathmandu valley indicates an urgent need for early diagnosis and treatment of mental disorders among senior citizens to improve their quality of life and well-being. KEY WORDS Dementia, Geriatric homes, Nepal, Senior citizensPublication Frequency of Bile Bacteria in Gallstone Disease(Institute of Medicine, 2014) Shrestha, KR; Adhikary, S; Koirala, R; Amatya, RAbstract Introduction: Gallstone disease is among the bread and butter surgery for most general surgeons but role of bacteria in its formation is still an enigma. Methods: Bile was obtained during cholecystectomy from the patients admitted for uncomplicated cholecystectomy which was cultured in standard culture medium. Demographic profile and nature of stones obtained were also compared. Results: This study involved micro biological analysis of bile obtained from 528 patients undergoing cholecystectomy without other complication for duration of one year in BP Koirala institute of health sciences, Dharan. Study showed that incidence biliary infection was 4.8% with commonest organism being E coli followed by K pneumonia. Among various types of stones pigment stone were mainly found to be associated with infection than other types of stones. Conclusion: The study shows that though biliary infection in patients with gallstone disease is not uncommon but its exact role in the pathogenesis of gallstone disease is not elusive. Keywords: gallstone disease, biliary infection, pigment stonesPublication Postoperative intussusception following transverse colostomy: A case report with its pathogenesis(Kathmandu University, 2009) Shakya, VC; Agrawal, CS; Koirala, R; Khaniya, S; Shrestha, AB; Adhikary, SAbstract Postoperative idiopathic intussusception is considered to be a distinct entity, and has been reported following different operations. We present a 45-year-old female with postoperative ileoileal intussusception following a transverse loop colostomy for sigmoid volvulus, in which there was a kinked loop of bowel forming the lead point. The pathogenesis and literature review of this disorder is discussed. Key words: postoperative intussusception, lead point, kink, motility disorderPublication Prolapsed uterus with huge rectocele and omentocele following cervical amputation: A rare and unusual case presentation(Kathmandu University, 2006) Pokharel, H; Banerjee, B; Koirala, RPelvic organ prolapse is a common condition whose incidence is increasing. Many cases of prolapse of the posterior vaginal wall occur along with other pelvic support defects. Pelvic surgeons who treat rectocele must have an excellent understanding of the normal anatomy, interactions of the connective tissue and muscular supports of the pelvic, and the relationship between anatomy and function. Pelvic pressure, the need to splint the perineum to defecate, impaired sexual relations, difficult defecation, and faecal incontinence are some of the symptoms that have been described in patients with rectocele. Key words: Rectocele, fothergills operation, utero- vaginal prolapse.