Browsing by Author "Shah, M"
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Publication Fulminant Hepatic Failure Due to Dengue(Kathmandu University, 2011) Sedhain, A; Adhikari, S; Regmi, S; Chaudhari, SK; Shah, M; Shrestha, BABSTRACT: Dengue Fever (DF) is only rarely considered as a cause of acute liver failure even globally and only a few case reports of acute hepatic failure and encephalopathy occurring in DF in adults are available. We report a case of Acute Liver Failure due to Dengue during a major outbreak in 2010 in Chitwan. A 20 year old previously healthy female presented to the emergency department of Chitwan Medical College with fever, jaundice and altered sensorium. She was tested positive for Dengue IgM. Her biochemical and clinical parameters were suggestive of acute liver failure with total billirubin of 10.1 mg/dL, direct billirubin of 5.2 mg/ dL, ALT 5760 IU, AST 14100 IU, alkaline phosphatase of 1250 IU, PT INR of 1.76 and platelet count of 30,000 /mm3. Other causes for acute hepatic failure like acute viral hepatitis, leptospirosis, malaria, Reye’s syndrome were ruled out. The patient was admitted and managed in the ICU with supportive care and platelet transfusion. With treatment she made a significant clinical and biochemical improvement with AST of 105 IU, ALT of 120 IU and platelet count of 150,000/mm3. She was discharged after 11 days of hospital stay. KEY WORDS Dengue, Dengue Hemorrhagic Fever, Fuminant Hepatic failurePublication Health manpower development in Nepal: A historical perspective(Kathmandu University, 2009) Shah, MNAPublication Prevalence of anaemia among females of the reproductive age group visiting Chisapani dispensary(Institute of Medicine, 1999) Bhatia, V; Manandhar, N; Mishra, B; Bista, S; Shah, MAbstract Anaemia is one of the major health problems in Nepal. Nutritional anaemia is one of the commonest forms of anaemia and affects chiefly the females in the reproductive age group. The available data from the hospital records and small-scale studies put the estimate to more than 50%. There are other figures that project the range from 60- 75% among this group. The present study was conducted on females of the reproductive age group visiting the dispensary attached to Nepalgunj Medical College, Chisapani. The total number of females included in the study was 71. Nearly 65% were less than 30 years of age. The literacy rate was around 39.4%. Among the 66 married females, the number of children ranged from 0-7. Among the subjects, 79% were found to be anaemic. The proportion of female with anaemia was not associated with increasing age or education of the subjects but some degree of association could be observed with increasing number of children. Usage of temporary contraceptive was also found to be associated with a larger proportion of females being anaemic. The degree of contribution made by hookworm infestation to the present figures of anaemia cannot be commented upon in numerical terms but could be high. Keywords: Anaemia, Reproductive age-group, females