Browsing by Author "Paudel, Neetika"
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Publication A Rare Case of Bronchopulmonary Infection by Lophomonas Blattarum : A Case Report(Nepal Medical Association, 2025) Mahato, Arun Kumar; Shah, Sonu; K C, Rupak; Kandel, Sudarshan; Paudel, Neetika; Siddiqui, Saharoj; K C, NiranjanAbstract Lophomonas blattarum is a flagellated protozoan parasite found in cockroaches' and termites' hindgut. It can rarely cause bronchopulmonary infection in humans, especially in people with other comorbidities or immunocompromised, but the prevalence and characterization of the disease remains poorly understood. In this case report, we present a case of a 51-year-old male patient with underlying Hepatitis B presenting with a persistent cough for more than two weeks. During evaluation, microscopic examination of the wet mount of Bronchoalveolar lavage revealed actively motile trophozoite of Lophomonas blattarum. The patient was treated with metronidazole with significant improvement in two weeks.Publication Contribution of Comorbidities in Mortality of COVID-19 Patients Admitted to Tertiary Care Center: A Descriptive Cross-sectional Study(Institute of Medicine, Tribhuvan University, 2024) Bhandari, Nirajan; KC, Rupak; Paudel, Neetika; Chaulagain, Pratima; Singh, Pankaj Kumar; Pandey, RaviAbstract: Introduction The majority of COVID patients with comorbidity were admitted to Intensive Care for treatment, and their outcomes were poor, necessitating the need for this study to determine the mortality due to comorbidities. This study aimed to find out the prevalence of comorbidities in COVID-19 mortality cases recorded in the tertiary hospital. Methods Cases with comorbidities among 162 cases of deaths due to COVID-19 were assessed in this retrospective cross-sectional study. Data were obtained from the Department of Biostatistics. Age, sex and comorbidity status were recorded in each mortality case. Ethical approval was obtained from the Institutional Review Committee. Results Out of 162 mortality cases, 62 (38.27%) patients had comorbidity. Among 62 mortality cases with ages ranging from 26-80 years and mean age was found to be 57.26 ± 11.18. Our data included a total of 41 (66.20%) males and 21 (33.80%) females. Diabetes with hypertension (23%) was the leading comorbidity in the COVID mortality case followed by hypertension (20%), diabetes (18%), chronic kidney disease (12%), hypothyroidism (9%), and other cases (18%). Other cases include upper gastrointestinal (UGI) bleeding, hepatic encephalopathy, old cerebrovascular accidents (CVA), liver abscess, and other surgical cases. Conclusion Diabetes with hypertension was the major comorbidity in COVID-19 mortality.Publication Correlation Seminar during Basic Medical Science: Our Experience(Nepal Medical Association, 2024) Rokaya, Dhirendra; Paudel, NeetikaAbstract Correlation seminars are used in teaching curricula as a strategy to encourage students to build a solid foundation in basic science at the beginning of the learning process. Establishing a link between basic science and medical practice is the main objective of the correlation seminar which helps students relate topics from basic science with a medical application or disease. Correlation seminars are designated in such a way that students can apply their basic science knowledge acquired from lectures and practical classes in clinical patient care. Course-centred problem-solving emphasises the identification and resolution of clinical issues to enhance clinical reasoning abilities. Through correlation seminars, students are allowed to engage in critical thinking and apply their knowledge of basic science to clinical settings.Publication Correlation Seminar during Basic Medical Science: Our Experience(Nepal Medical Association, 2024) Rokaya, Dhirendra; Paudel, NeetikaAbstract Correlation seminars are used in teaching curricula as a strategy to encourage students to build a solid foundation in basic science at the beginning of the learning process. Establishing a link between basic science and medical practice is the main objective of the correlation seminar which helps students relate topics from basic science with a medical application or disease. Correlation seminars are designated in such a way that students can apply their basic science knowledge acquired from lectures and practical classes in clinical patient care. Course-centred problem-solving emphasises the identification and resolution of clinical issues to enhance clinical reasoning abilities. Through correlation seminars, students are allowed to engage in critical thinking and apply their knowledge of basic science to clinical settings.Publication Prevalence of Dentinal Hypersensitivity among Dental Patients Visiting Tertiary Care Center: An Observational Study(Nepal Medical Association, 2025) Ghimire, Saru; Ghimire, Sagar; Dahal, Samarika; Dahal, Sirjana; Paudel, Neetika; Paudel, PrayashAbstract Introduction: Dentinal hypersensitivity is a widespread condition characterized by a brief, sharp pain arising from exposed dentin in response to external stimuli, which cannot be linked to any other dental conditions. This study aimed to estimate the prevalence of dentinal hypersensitivity among patients attending a tertiary health care center. Methods: A observational cross-section study was conducted, involving 376 patients aged 10-70 years who visited a tertiary care center. Convenience sampling was employed to select participants, and the prevalence of dentinal hypersensitivity was assessed through a questionnaire. Data were collected from the Department of Oral Medicine and Radiology after obtaining ethical approval Institutional Review Committee (Reference number: 385 (6-11) E2 079/80). The analysis was performed using Microsoft Excel, and descriptive statistics were reported . Results: There were 376 patients in the study and the prevlence of dentin hypersensitivity wasa 236 (62.77%; CI 95%: 57.66%-67.67%). Among those diagnosed, 138 (73.02%) were male, and 98 (52.41%) were female. The age-specific prevalence was found to be 30 (50.85%) in patients aged 10-19 years, 73 (63.48%) in those aged 20-29 years, 42 (53.16%) in patients aged 30-39 years, 23 (51.11%) in those aged 40-49 years. Conclusions: This study identified a high prevalence of dentin hypersensitivity among the patient population, with variations observed across different age and sex groups.