Publications by authors named "D Bista"

Purpose: Atrial fibrillation (AF) being a prevalent cardiovascular condition globally, has an increased risk of stroke and other complications. The effective management of AF often involves the use of oral anticoagulants (OACs) to prevent thromboembolic events. This study aimed to evaluate anticoagulation knowledge and medication adherence in AF patients on OACs at a tertiary care center in Nepal.

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Purpose: Gabapentinoids are mainly prescribed for neuropathic pain and certain seizure disorders, but their off-label use has increased significantly. This rise raises concerns about the insufficient evidence supporting some applications, as well as potential risks of misuse, dependence, and adverse effects. The study aims to examine the prescribing patterns and off-label use of gabapentinoids at Dhulikhel Hospital (DH), Nepal, focusing on understanding the extent of off-label practices and patient knowledge regarding their medications.

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This study investigated potential Ross River virus (RRV) exposure sites in Greater Brisbane during the Queensland COVID-19 lockdown (January-July 2020). Using RRV notifications, cluster identification techniques, and mobile phone data for movement network analysis, the study examined 993 RRV cases and 9 million movement trajectories from residential RRV cluster areas (hot-spots). The findings revealed that population movement was a key risk factor to RRV incidence within hotspots whereby highly interconnected areas had more RRV cases during lockdown.

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Article Synopsis
  • * A study in Dhulikhel Municipality screened 2048 residents aged 50 and older using ECG, detecting AF in 16 individuals, which translates to a prevalence of 0.78%, notably higher in those 80 and above.
  • * Among identified AF patients, a significant portion (75%) was at high stroke risk, yet only 41.66% were treated with effective oral anticoagulants, highlighting the need for broader screening and better management strategies in the region.
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Background: Measurement of medication adherence and health-related quality of life is extremely important when planning different health policies. Drug therapy and adherence to medication are critical to prevent complications of hypertension, especially in countries like Nepal, where hypertension is one of the most prevalent diseases. However, this has not been studied in Nepal.

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