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Hemodynamic Changes During Laproscopic Cholecystectomy at Lumbini Medical College

Nil Raj Sharma, Pradeep Timalsena, Sundip Dware Chhetri, Sarad Panthee
2013 Journal of Lumbini Medical College  
Laparoscopic cholecystectomy is preferred to open cholecystectomy for several reasons. Patients can be discharged home earlier. They have less pain in comparision to open cholecystectomy. Objectives: To investigate the pneumoperitoneum-induced haemodynamic and ventilatory changes in patients undergoing laproscopic cholycystectomy (LC). Methods: It was a prospective study of the age 15 years to 75 years of both sex (males n=80 and females n =320) were included in the study. The study was
more » ... d in Lumbini Medical College Palpa over the two year period in Jan 2010 and Dec 2012. The variables recorded were: Mean arterial pressure (MAP), End- dal CO2, Peak and plateau airway pressures and heart rate. Data were collected immediately after induction of anesthesia at 5 min , after peritoneal insufflations and tilting the table into 30° head-up position at 10 min and finally at 10 min after exsufflation. Results: There was decrease in MAP after head up position but there was little change after pneumoperitoneum. More the weight more the increased in airway pressure was observed. The end tidal CO2 ramained increased after pneumoperitoneum. Conclusion: Peritoneal insufflation of CO2 to create the pneumoperitoneum and tilting the patient to the head-up position necessary for laparoscopy induces intraoperative ventilatory and hemodynamic changes that complicate anesthetic management of laparoscopy.
doi:10.22502/jlmc.v1i1.13 fatcat:ohrggko5inhvbowf2njlqssjga

Living with a giant inguinoscrotal hernia for 35 years—a case report

Pradeep Khatiwada, Amrit Devkota, Sagar Panthi, Srista Manandhar, Dipendra Sharma, Sunit Chhetri, Chet Bahadur Ranabhat, Suresh Shah, Bhawani Khanal
2021 Journal of Surgical Case Reports  
In this modern era, giant inguinoscrotal hernias are very rare to experience in a medical career. We discuss a case of a 65-year-old man with a history of an inguinoscrotal hernia with progressive growth for the past 35 years. On examination, he had a 20 cm × 15 cm non-reducible swelling with multiple ulcers over the skin surface extending to the mid-thigh with otherwise no other bladder and bowel complications. These large hernias pose a different set of surgical problems. Open surgery was
more » ... ormed, hernial sac opened, contents reverted and left orchidectomy were done with scrotal reconstruction. The defect was closed with Vicryl 1-0 over the muscle layer and the skin was stapled. Daily wound care was provided. Besides, this case also compels us to explore possible reasons for the occurrence of such potentially dangerous surgical problems in low-to-middle income countries (LMIC).
doi:10.1093/jscr/rjab458 pmid:34729170 pmcid:PMC8557426 fatcat:mbal65ejxvefxneyja7ya7wipa

Optimal Drug Regimen and Combined Drug Therapy and its Efficacy in the Treatment of COVID-19 : An Within-Host Modeling Study [article]

Bishal Chhetri, Vijay M. Bhagat, D. K. K. Vamsi, Ananth V S, Bhanu Prakadh, Swapna Muthuswamy, Pradeep Deshmukh, Carani B Sanjeevi
2020 arXiv   pre-print
The COVID-19 pandemic has resulted in more than 30.35 million infections and 9, 50, 625 deaths in 212 countries over the last few months. Different drug intervention acting at multiple stages of pathogenesis of COVID-19 can substantially reduce the infection induced mortality. The current within-host mathematical modeling studies deals with the optimal drug regimen and the efficacy of combined therapy in treatment of COVID-19. The drugs/interventions considered include Arbidol, Remdesivir,
more » ... eron (INF) and Lopinavir/Ritonavir. It is concluded that these drug interventions when administered individually or in combination reduce the infected cells and viral load. Four scenarios involving administration of single drug intervention, two drug interventions, three drug interventions and all the four have been discussed. In all these scenarios the optimal drug regimen is proposed based on two methods. In the first method these medical interventions are modeled as control interventions and a corresponding objective function and optimal control problem is formulated. In this setting the optimal drug regimen is proposed. Later using the the comparative effectiveness method the optimal drug regimen is proposed based on basic reproduction number and viral load. The average infected cell count and viral load decreased the most when all the four interventions were applied together. On the other hand the average susceptible cell count decreased the best when Arbidol alone was administered. The basic reproduction number and viral count decreased the best when all the four interventions were applied together reinstating the fact obtained earlier in the optimal control setting. These findings may help physicians with decision making in treatment of life-threatening COVID-19 pneumonia.
arXiv:2009.10049v1 fatcat:5uhea6klu5gajffx4glanmvlla

High altitude wetland migratory birds in the Sikkim Himalaya: a future conservation perspective

Prem K. Chhetri, Kusal Gurung, Thinlay Namgyal Lepcha, Bijoy Chhetri
2021 Journal of Threatened Taxa  
Pradeep, Pp. 17780-17806 Malacofaunal inventory in Chintamoni Kar Bird Sanctuary, West Bengal, India -S.K.  ...  Chhetri, Kusal Gurung, Thinlay Namgyal Lepcha & Bijoy Chhetri, Pp. 17832-17836 Tawny Fish-owl Ketupa flavipes Hodgson, 1836 (Aves: Strigiformes: Strigidae): recent record from Arunachal Pradesh, India  ... 
doi:10.11609/jott.5610.13.2.17832-17836 fatcat:xfsbs7pcfvejvftecfa3zouxgi

PATTERN OF PSYCHIATRIC REFERRAL FROM EMERGENCY DEPARTMENT OF A TERTIARY LEVEL HOSPITAL IN NEPAL

Sanjeev Ranjan, Reet Poudel, Pradeep Pandey
2016 Journal of Universal College of Medical Sciences  
Pandey tharu (15%), chhetri (14%) magar (11%) and others.  ...  PATTERN OF PSYCHIATRIC REFERRAL FROM EMERGENCY DEPARTMENT OF A TERTIARY LEVEL ORIGINAL ARTICLE HOSPITAL IN NEPAL Sanjeev Ranjan, Reet Poudel, Pradeep  ... 
doi:10.3126/jucms.v3i2.14283 fatcat:bk5jxqrn75dwzcosidyffoiq6i

Addition of four species to the flora of Andaman Islands, India

Mudavath Chennakesavulu Naik, Lal Ji Singh, Gautam Anuj Ekka, C.P. Vivek
2021 Journal of Threatened Taxa  
Pradeep, Pp. 17780-17806 Malacofaunal inventory in Chintamoni Kar Bird Sanctuary, West Bengal, India -S.K.  ...  Chhetri, Kusal Gurung, Thinlay Namgyal Lepcha & Bijoy Chhetri, Pp. 17832-17836 Tawny Fish-owl Ketupa flavipes Hodgson, 1836 (Aves: Strigiformes: Strigidae): recent record from Arunachal Pradesh, India  ... 
doi:10.11609/jott.5990.13.2.17843-17846 fatcat:vxoqrwqlvbdarancvywrxrqxvi

Upper gi endoscopy in relation with carcinoma stomach

Dr. Pradeep Ghimire
2012 IOSR Journal of Pharmacy (IOSRPHR)  
Duk Bahadur chhetri for histopathological examination and Dr. Prajwal Ghimire for computer works.  ... 
doi:10.9790/3013-25303437 fatcat:tgukzusck5g43ja6yrbexa7rmu

Tawny Fish-Owl (Ketupa flavipes Hodgson, 1836): A new record from a sacred grove in Zemithang Valley, Arunachal Pradesh

Malyasri Bhattacharya, Bhupendra S. Adhikari, G.V. Gopi
2021 Journal of Threatened Taxa  
Pradeep, Pp. 17780-17806 Malacofaunal inventory in Chintamoni Kar Bird Sanctuary, West Bengal, India -S.K.  ...  Chhetri, Kusal Gurung, Thinlay Namgyal Lepcha & Bijoy Chhetri, Pp. 17832-17836 Tawny Fish-owl Ketupa flavipes Hodgson, 1836 (Aves: Strigiformes: Strigidae): recent record from Arunachal Pradesh, India  ... 
doi:10.11609/jott.5382.13.2.17837-17840 fatcat:asp3dduhrbfy7cuenebc6irdvy

Inequalities in the Use of Family Planning in Rural Nepal

Suresh Mehata, Yuba Raj Paudel, Bhogendra Raj Dotel, Dipendra Raman Singh, Pradeep Poudel, Sarah Barnett
2014 BioMed Research International  
Use of LARCs among Terai/Madhesi other castes (AOR: 0.2; 95% CI: 0.1-0.7) was lower than among Brahmins/Chhetris ( Table 2) .  ...  The likelihood of using a shortacting method was higher among Newars and Janajatis than Brahmins/Chhetris, while Muslims were less likely to use short-acting method ( Table 2) .  ... 
doi:10.1155/2014/636439 pmid:25405205 pmcid:PMC4163397 fatcat:cf2fd732xvfxzism2mcr3xxxcy

MORPHOMETRIC STUDY OF PLACENTA OF FULL TERM NEW BORN & ITS RELATION TO FETAL WEIGHT: A STUDY IN TERTIARY CARE HOSPITAL OF ODISHA
English

Susmita Senapati, Lopamudra Nayak, Shashi Shankar Behera, Prafulla Kumar Chinara
2015 Journal of Evolution of Medical and Dental Sciences  
, however an often neglected parameter is the morphology of the placenta, an organ which plays a keyrole for fetal growth (Pradeep S Londhe, 2012). 13 In present study mean weight of placenta is 547.83  ...  Chhetri et al (2013) reported that in normal birth weight, in 84 .2% (32 no) cases the mode of umbilical cord insertion was central, 72.7% (16 no) cases itwas marginal and 90% cases (27 no) cases its  ... 
doi:10.14260/jemds/2015/107 fatcat:mgzxd6fo3vajhad7ci477umrnu

New vegetation type map of India prepared using satellite remote sensing: Comparison with global vegetation maps and utilities

P.S. Roy, M.D. Behera, M.S.R. Murthy, Arijit Roy, Sarnam Singh, S.P.S. Kushwaha, C.S. Jha, S. Sudhakar, P.K. Joshi, Ch. Sudhakar Reddy, Stutee Gupta, Girish Pujar (+87 others)
2015 International Journal of Applied Earth Observation and Geoinformation  
A seamless vegetation type map of India (scale 1: 50,000) prepared using medium-resolution IRS LISS-III images is presented. The map was created using an on-screen visual interpretation technique and has an accuracy of 90%, as assessed using 15,565 ground control points. India has hitherto been using potential vegetation/forest type map prepared by Champion and Seth in 1968. We characterized and mapped further the vegetation type distribution in the country in terms of occurrence and
more » ... n, area occupancy, percentage of protected area (PA) covered by each vegetation type, range of elevation, mean annual temperature and precipitation over the past 100 years. A remote sensing-amenable hierarchical classification scheme that accommodates natural and semi-natural systems was conceptualized, and the natural vegetation was classified into forests, scrub/shrub lands and grasslands on the basis of extent of vegetation cover. We discuss the distribution and potential utility of the vegetation type map in a broad range of ecological, climatic and conservation applications from global, national and local perspectives. We used 15,565 ground control points to assess the accuracy of products available globally (i.e., GlobCover, Holdridge's life zone map and potential natural vegetation (PNV) maps). Hence we recommend that the map prepared herein be used widely. This vegetation type map is the most comprehensive one developed for India so far. It was prepared using 23.5 m seasonal satellite remote sensing data, field samples and information relating to the biogeography, climate and soil. The digital map is now available through a web portal (http://bis.iirs.gov.in).
doi:10.1016/j.jag.2015.03.003 fatcat:ijq37ydp65hrpk4fin7f2ojvsm

Food habits of the Dusky-striped Squirrel Funambulus sublineatus (Mammalia: Rodentia: Sciuridae)

Palassery Suresh Aravind, George Joe, Ponnu Dhanesh, Rajamani Nandini
2021 Journal of Threatened Taxa  
Pradeep, Pp. 17780-17806 Malacofaunal inventory in Chintamoni Kar Bird Sanctuary, West Bengal, India -S.K.  ...  Chhetri, Kusal Gurung, Thinlay Namgyal Lepcha & Bijoy Chhetri, Pp. 17832-17836 Tawny Fish-owl Ketupa flavipes Hodgson, 1836 (Aves: Strigiformes: Strigidae): recent record from Arunachal Pradesh, India  ... 
doi:10.11609/jott.6202.13.2.17827-17831 fatcat:nyt4unj4bzaonjksjg4ycqnysa

Prevalence of Hypertension in a Community

Pradeep Paudel, Samir Chalise, Dinesh Raj Neupane, Narayan Adhikari, Shishir Paudel, Nim Bahadur Dangi
2020 Journal of Nepal Medical Association  
Frequency n (%) Age group Adult 793 (79.5) Elderly 204 (20.5) Gender Male 463 (46.4) Female 534 (53.6) Marital status Married 753 (75.5) Unmarried 150 (15) Widow 94 (9.5) Ethnicity Brahmin 413 (41.4) Chhetri  ...  113 (63.8) 177 (60.2) Marital Status Married 117 (45.2) 142 (54.8) 259 (88.0) Unmarried 1 (50.0) 1 (50.0) 2 (0.01) Widow 9 (27.3) 24 (72.7) 33 (11.99) Ethnicity Brahmin 48 (46.2) 56 (53.8) 104 (35.4) Chhetri  ... 
doi:10.31729/jnma.5316 pmid:34506387 pmcid:PMC8028540 doaj:3cd6481542344af192e043e629a8fb62 fatcat:y7vf5vq5jvd4dfrb7z7xf6cmkq

An insight into the butterfly (Lepidoptera) diversity of an urban landscape: Guwahati, Assam, India

Sanath Chandra Bohra, Jayaditya Purkayastha
2021 Journal of Threatened Taxa  
Pradeep, Pp. 17780-17806 Malacofaunal inventory in Chintamoni Kar Bird Sanctuary, West Bengal, India -S.K.  ...  Chhetri, Kusal Gurung, Thinlay Namgyal Lepcha & Bijoy Chhetri, Pp. 17832-17836 Tawny Fish-owl Ketupa flavipes Hodgson, 1836 (Aves: Strigiformes: Strigidae): recent record from Arunachal Pradesh, India  ... 
doi:10.11609/jott.6122.13.2.17741-17752 fatcat:r4xptfdrzjd6rhd23ub4ffosqa

Foraging behavior and association with mixed flocks by the Critically Endangered Alagoas Tyrannulet Phylloscartes ceciliae (Aves: Passeriformes: Tyrannidae)

Carlos Otávio Araujo Gussoni, Tatiana Pongiluppi
2021 Journal of Threatened Taxa  
Pradeep, Pp. 17780-17806 Malacofaunal inventory in Chintamoni Kar Bird Sanctuary, West Bengal, India -S.K.  ...  Chhetri, Kusal Gurung, Thinlay Namgyal Lepcha & Bijoy Chhetri, Pp. 17832-17836 Tawny Fish-owl Ketupa flavipes Hodgson, 1836 (Aves: Strigiformes: Strigidae): recent record from Arunachal Pradesh, India  ... 
doi:10.11609/jott.6374.13.2.17646-17650 fatcat:47pvchqekvgwbd2chzq66pmo7q
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