Publications by authors named "D R Aryal"

Background: This study aimed to assess the current status of critical care services in 13 districts of Bagmati Province in Nepal, with a focus on access, infrastructure, human resources, and intensive care unit (ICU) services.

Methods: A cross-sectional survey was conducted among healthcare workers employed in 87 hospitals having medical/surgical ICUs across Bagmati Province. Data were collected through structured questionnaires administered via face-to-face and telephone interviews.

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Background: The new coronavirus disease 2019 (COVID-19), caused by a virus in the coronavirus family called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Due to lack of effective treatment, the major way to breakdown the disease transmission is by application of preventive measures. For this, a preventive practice questionnaire was used to assess the preventive practice during COVID-19.

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Article Synopsis
  • The study analyzed water-soluble ions and stable isotopes in precipitation from different regions of the Himalayas to understand their sources and seasonal variations in chemistry.
  • It found that ion concentrations were higher in non-monsoon periods and varied geographically, with Koshi Tappu having the highest levels, influenced by various sources like terrigenous, marine, and anthropogenic activities.
  • The research highlighted the impact of altitude and orographic effects on isotopic composition and precipitation chemistry, revealing significant differences between the southern and northern slopes which can inform about climate patterns and atmospheric influences in the region.
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Article Synopsis
  • - The
  • Mega-ROX HIE trial
  • is an international study designed to compare conservative versus liberal oxygen therapy in adults with hypoxic ischaemic encephalopathy (HIE) after cardiac arrest who are on mechanical ventilation in ICU settings.
  • - The
  • trial aims to enroll around 4,000 participants
  • and will measure all-cause mortality within 90 days from randomization as its primary outcome, alongside several secondary outcomes related to survival and hospital stay.
  • - The study is structured to reduce any potential analysis bias by clearly outlining its
  • protocol and statistical analysis plan
  • , and aims to provide insights into effective oxygen therapies for this population.
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