Publications by authors named "B Gauchan"

Article Synopsis
  • Ataxia telangiectasia (A-T) is a rare neurodegenerative disorder that affects children and is caused by mutations in the ATM gene, leading to symptoms like ataxia, telangiectasia, and increased cancer risk.
  • A case study of a 19-year-old girl illustrates the severe symptoms of A-T, including spastic movements and slurred speech, supporting the diagnosis through specific lab and imaging findings.
  • Management of A-T includes genetic counseling and supportive care, emphasizing the need for careful monitoring due to the disorder's association with infection risks and potential cancers.
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Introduction: Despite carrying a disproportionately high burden of depression, patients in low-income countries lack access to effective care. The collaborative care model (CoCM) has robust evidence for clinical effectiveness in improving mental health outcomes. However, evidence from real-world implementation of CoCM is necessary to inform its expansion in low-resource settings.

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Community health workers (CHWs) are essential to primary health care systems and are a cost-effective strategy to achieve the Sustainable Development Goals (SDGs). Nepal is strongly committed to universal health coverage and the SDGs. In 2017, the Nepal Ministry of Health and Population partnered with the nongovernmental organization Nyaya Health Nepal to pilot a program aligned with the 2018 World Health Organization guidelines for CHWs.

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Background: In Nepal, the burden of noncommunicable, chronic diseases is rapidly rising, and disproportionately affecting low and middle-income countries. Integrated interventions are essential in strengthening primary care systems and addressing the burden of multiple comorbidities. A growing body of literature supports the involvement of frontline providers, namely mid-level practitioners and community health workers, in chronic care management.

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Introduction: Thyroid disorders are among the common endocrine disorders and may approximate diabetes in prevalence. District hospitals are in frontline to manage chronic disorders including thyroid. Primary care workforce of physicians and mid-level providers together deliver care in these hospitals.

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