Publications by authors named "Natasha Dhakal"

Article Synopsis
  • Zenker's diverticulum (ZD) is a condition where part of the throat sticks out because of pressure, often happening in older people.
  • A 91-year-old man from Nepal has been struggling with swallowing and coughing for 25 years, and doctors found ZD using a special scan.
  • Although surgery is the best way to treat ZD, the patient chose not to have it because he is very old and has other health problems.
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Background: Crossed fused renal ectopia (CFRE) is a common congenital anomaly where one kidney is positioned abnormally on the opposite side of the midline, often fused with the other kidney. However, single ureter draining crossed fused renal ectopia is a rare occurrence.

Case Report: Here, we report a case of crossed fused renal ectopia with a single ureter in a 46-year-old Nepali male who presented with history of lithuria.

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Key Clinical Message: Foreign body aspiration is common in old age, sometimes lodged in unusual locations like the left upper lobe bronchus when aspiration happens in a recumbent position. Computed tomography is the preferred diagnostic tool, while flexible bronchoscopy is effective for removing the foreign body.

Abstract: Tracheo-bronchial foreign body aspiration (FBA) is common in children and elderly, but often goes unnoticed due to vague symptoms and atypical imaging findings.

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Article Synopsis
  • The study aimed to assess the prevalence of needle stick and sharp-related injuries (NSSI) and hepatitis B vaccination status among healthcare workers at Nepalgunj Medical College Teaching Hospital.
  • Out of 506 healthcare workers surveyed, 60.1% had experienced NSSI, with nursing students notably facing a 21.3% incidence rate, while 71.7% of workers had received at least one dose of the hepatitis B vaccine.
  • The findings highlighted a need for improved vaccination rates and safety measures, as over a quarter of workers faced injuries, and complete vaccination coverage was insufficient; thus, awareness and free immunization programs are essential for better protection.
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