Publications by authors named "R Shrestha"

Background: Peripartum asphyxia affects three to five per 1000 live births, with moderate or severe hypoxic ischemic encephalopathy (HIE) occurring in 0.5 to 1 per 1000 live births, and is associated with high mortality and morbidity. Therapeutic hypothermia is an effective treatment, but alternative therapies such as acupuncture are also used.

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Objectives: Using participatory approaches to design health interventions is promising, and the ongoing digitalization has enabled the development of diverse digital formats for this purpose. These digital formats bring forth distinct advantages and challenges that should be carefully considered. This rapid review aims to present an overview of digital formats employed in participatory health intervention development and their reported benefits and barriers.

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Tumors escape immune detection and elimination through a variety of mechanisms. Here, we used prostate cancer as a model to examine how androgen-dependent tumors undergo immune evasion through downregulation of the major histocompatibility complex class I (MHCI). We report that response to immunotherapy in late-stage prostate cancer is associated with elevated MHC expression.

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Introduction And Importance: Transverse testicular ectopia (TTE) is a rare congenital anomaly in which both testes descend into the same inguinal canal and are located in the same hemiscrotum. Diagnosing TTE can be challenging due to its rarity and unusual presentation.

Case Presentation: The authors present a case of a male in his 50s who was diagnosed with left transverse testicular ectopia after presenting with an empty right hemiscrotum and two testes-like masses in the left hemiscrotum.

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Article Synopsis
  • - Diabetes Mellitus poses a significant public health challenge globally, particularly in low- and middle-income countries like Nepal, where medication costs hinder patient access to necessary treatments.
  • - A study investigated price variations in oral hypoglycaemic medicines (OHMs) across Nepal, finding a dramatic maximum variation of 484.82%, with many medicine categories surpassing 100% price differences despite the local production of these drugs.
  • - The findings highlight a lack of cost-effective alternatives and suggest a need for better drug policies to make OHMs more affordable, ensuring patients have access without financial strain.
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