Browsing by Author "Subedi, Pratik"
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Publication Portal Hypertension among Patients with Chronic Liver Disease Admitted to the Department of Internal Medicine of a Tertiary Care Centre(Nepal Medical Association, 2023) Khadka, Sabina; Aryal, Ananda; Karki, Sagun; Subedi, Pratik; Bogati, Kanchan; Baniya, Sunil; Khadka, Shrekshya; Roka, Kumar; Shahi, AshaAbstract Introduction: Portal hypertension is increased pressure within the portal vein. A portal pressure gradient of more than 10 mmHg is defined as "clinically significant portal hypertension" due to manifestations such as splenomegaly, gastroesophageal varices, ascites, hepatorenal syndrome, hepatopulmonary syndrome, hepatic encephalopathy, and spontaneous bacterial peritonitis. The aim of this study was to find out the prevalence of portal hypertension among patients with chronic liver disease admitted to the Department of Internal Medicine of a tertiary care centre. Methods: A descriptive cross-sectional study was conducted among patients with chronic liver disease in the Department of Internal Medicine of a tertiary care centre from 1 January 2021 to 31 December 2022 after obtaining ethical approval from the Institutional Review Committee. Convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval. Results: Among 247 patients with chronic liver disease, the prevalence of portal hypertension was 38 (15.38%) (10.88-19.88, 95% Confidence Interval). A total of 16 (42.11%) patients were in the age group of 51-60 years and males were 36 (94.74%). Ascites as a complication were found in 4 (10.53%). Conclusions: The prevalence of portal hypertension among chronic liver disease inpatients in a tertiary care centre was found to be lower than other studies done in international settings.Publication Status of Healthcare in LGBTQI+ Community in Nepal: Challenges and Possibilities(Nepal Medical Association, 2023) Subedi, Pratik; Jha, AnjaliAbstract Lesbian, gay, bisexual, transgender, queer, and intersex are at increased risk of getting infected with sexually transmitted infections, suicidal behaviours, and substance and physical abuse. Stigmatization and discriminatory attitudes toward the community have led to disparities while receiving healthcare. In this article, we discuss the condition of healthcare in sexual minorities in Nepal, the major barriers to accessing healthcare facilities, the roles played by nongovernmental organizations, and the possible ways to improve healthcare in the lesbian, gay, bisexual, transgender, queer, and intersex community.