Publications by authors named "K K Shrestha"

Objective: To estimate the prevalence of internet addiction and its associated factors among secondary-level private school students in an urban municipality in Nepal.

Design: Cross sectional.

Setting: Private schools in Budhanilkantha Municipality, Kathmandu District in Nepal.

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Objective:  Continuous glucose monitoring (CGM) improves pregnancy outcomes in type 1 diabetes. Given the rapid uptake of CGM in pregnancies complicated by both type 1 and type 2 diabetes, our objective was to determine if CGM satisfaction and use differed between type 1 and type 2 diabetes.

Study Design:  Cross-sectional survey study of 100 patients with pregestational diabetes who used Dexcom G6 CGM during pregnancy and received prenatal care at a single tertiary care center.

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Article Synopsis
  • The study aimed to assess whether the COVID-19 pandemic impacted the incidence of pediatric hydrocephalus surgeries, hypothesizing that surgical volumes would remain stable despite the pandemic.
  • Data was gathered from ten institutions about hydrocephalus-related surgeries conducted from March 2018 to February 2022, comparing the COVID-19 era to a pre-COVID baseline.
  • Results showed no significant overall change in monthly surgeries during the pandemic compared to pre-COVID, but there was a noticeable decline during the initial surge in April 2020, with disparities noted in patient demographics including sex and race.
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  • One third of organ donors experience catastrophic brain injury (CBI), but there’s no standardized management for traumatic CBI among trauma centers, leading to variability in practices.
  • A multicenter trial involving 33 trauma centers analyzed 790 CBI patients to investigate whether institutions with CBI guidelines had higher organ donation rates.
  • While centers with CBI guidelines showed greater use of certain treatments, the presence of guidelines did not significantly increase organ donation rates; however, hormone therapies were linked to a higher likelihood of donation.
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