Browsing by Author "Thapa, Milan"
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Publication Cannabis Use and Abuse in Nepal: A Review of Studies(Nepal Medical Association, 2021) Shakya, Dhana Ratna; Upadhaya, Sandesh Raj; Thapa, MilanAbstract: Nepal is a geographically, ecologically, bio-culturally and ethnically diverse country. Cannabis has been a flora, used in various forms and ways and its effect has been variably a matter of concern in Nepal. Perception to its use has also been changing with time with the dynamics of various factors and trends around and in the world. The views of its proponents at times appear with relatively more powerful influence among people though the views of the opponents seem less, and relatively less influential. Proponents advocate for its legalization with highlights of its different uses and benefits whereas opponents, mainly mental health professionals point out sporadically its adverse consequences, mainly in psychological health. The purpose of this review is to explore the existing literature regarding cannabis use and abuse in Nepal. Search for articles for this review was performed in PubMed, Google Scholar, and Nepal Journal Online. We summarize and discuss about cannabis in various aspects in the Nepalese context. The overarching objective is to reflect upon the ongoing debate regarding its harm and benefits, thereby upon the issue of its legalization in Nepal.Publication Old World Mucosal Leishmaniasis Treated with a Single Dose of Amphotericin: A Case Report(Institute of Medicine, 2024) Thapaliya, Sabin; Poudyal, Prasanta; Tripathi, Prashant; Thapa, Milan; Anjan, ShresthaABSTRACT Mucosal leishmaniasis, an uncommon disease in the old world, is recognized as an occasional complication of donovani related visceral leishmaniasis. It usually affects the spleen, liver, skin, mucosa of the respiratory tract and, less commonly, the oral cavity. Our case was a young adult with non-healing lesions in the oropharyngeal region who was diagnosed as mucosal leishmaniasis during evaluation for suspected mucosal carcinoma. The diagnosis was made with the rK39 strip-test after multiple futile test results. A single dose of liposomal amphotericin B cured the disease. Keywords: Leishmania donovani; leishmaniasis; mucosal