Browsing by Author "Shrestha, PK"
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Publication Role of dentists in Disaster Victim Identification of Sita air crash, Nepal(Institute of Medicine, 2014) Dahal, S; Agrawal, NK; Shrestha, PKAbstract Introduction: Sita Air Dornier 228, an early-morning flight from Tribhuvan International Airport Kathmandu to Lukla on Friday 28 September 2012 plunged into the banks of the Manohara River in Bhaktapur three minutes after takeoff, killing all 16 passengers and 3 crew members out of which seven were Britons, five were Chinese, one American and the rest, including the crew members, were Nepalese. All deceased were brought to Department of Forensic Medicine, Institute of Medicine for identification. Methods: Autopsy was carried out systematically by Forensic Medicine experts and dental experts. Personal belongings, medical and dental findings were recorded. Ante-mortem data was collected from family members, relatives and respective embassies. Reconciliation was carried out comparing ante-mortem and post-mortem records, Results: Of the human remains recovered, sixteen positive identifications were made by dental findings correlated with dental records and description given by family member. Two passengers were identified on medical grounds and the last one by exclusion. Conclusion: This paper describes the crash victim identification of Sita Air Dornier 228. It highlights the importance of dental records and involvement of Forensic odontologist as a part of Disaster Victim Identification team. The authors were part of Disaster Victim Identification Team, Nepal for Sita Air Crash. Keywords: Sita Air, Disaster victim identification, Forensic odontology, Aircrash identificationPublication Use of five different tests for Helicobacter pylori infection in Nepal(Institute of Medicine, 2014) Sharma, RP; Yamaoka, Y; Shrestha, PK; Khadga, P; Sharma, S; Shrestha, KBAbstract Introduction: The prevalence of Helicobacter pylori (H.pylori) has declined rapidly in Asia. This has been shown in both sero-prevalence-based and endoscopy-based studies. The present study was conducted to determine the current prevalence of H.pylori infection in Nepali population referred for upper gastrointestinal endoscopy and its relation with gastro-duodenal diseases. Method: Total of 146 patients (71 males and 75 females with the mean age of 42, 43 yrs, range 16-90yrs) underwent endoscopy at endoscopy services in Tribhuvan University Teaching Hospital (TUTH), Nepal. The diagnosis of H.pylori infection was determined non-invasively by serology and invasively by rapid urease test, culture, histology and immunohistochemistry. Results: The overall prevalence of H.pylori infection was 48.6%. The sero-prevalence was 43.8%. Gastritis was the predominant finding (76.7%), followed by duodenal ucler (4.1%), gastric ulcer (4.8%), gastric adenocarcinoma (3.4%) and normal mucosa (10.9%). Conclusion: The present study revealed the prevalence of H. pylori infection measured by serology was higher than that with other studies conducted in Nepal, the present study of the first study to use several tests at the same time to determine H. pylori prevalence. Keywords: Helicobacter pylori, infection, test, Nepal