Publications by authors named "Rabin Gautam"

Objectives: On October 4, 2021, a cholera outbreak was reported in Kapilvastu District, one of Nepal's 26 districts bordering India. This study examined the outbreak's characteristics, response efforts, and the challenges faced.

Methods: A descriptive cross-sectional design was applied for the outbreak investigation.

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  • Pancreaticopleural fistula, a rare complication of pancreatitis, presents diagnostic and therapeutic challenges, as highlighted in a case report of a 41-year-old man with acute necrotizing pancreatitis and pleural effusion.
  • The patient showed symptoms like severe dyspnea and chest pain, with imaging confirming pancreatic necrosis and the likelihood of a pancreaticopleural fistula, treated with octreotide therapy.
  • The report stresses the need for a tailored management approach that combines clinical suspicion, thorough investigations, and a mix of medical, endoscopic, and surgical treatments for better outcomes.
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  • A research study in Nepal aimed to measure the seroprevalence of COVID-19 and identify risk factors in the general population using two sampling rounds: one in October 2020 and another in July-August 2021.
  • In the first round, seroprevalence was 14.4% nationally, with significant variation between provinces; in the second round, it surged to 70.7%, reflecting increased exposure, especially in Madhesh Province.
  • Gender differences in seroprevalence were minimal, and there were notable disparities across different ecozones, with vaccination efforts starting in January 2021 as the country faced a substantial rise in infection rates.
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Behcet's disease (BD) is a chronic inflammatory disorder characterized by a relapsing and remitting course and multisystem involvement. The authors present a case report of a 20-year-old male who presented with bilateral knee joint pain, oral and genital ulcers, and papulopustular skin lesions. The patient's clinical history, physical examination, laboratory findings, and biopsy results were consistent with the diagnosis of BD.

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Key Clinical Message: This case report highlights the importance of considering scrub typhus as a differential diagnosis for acute encephalitis with cranial nerve palsy in the region of the tsutsugamushi triangle.

Abstract: Scrub typhus is a zoonotic rickettsiosis caused by the bacterium Orientia tsutsugamushi. This disease is endemic to a region called the tsutsugamushi triangle that extends from Southeast Asia to the Pacific Ocean.

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WHO recommends surveillance for COVID-19 among travelers at Points of Entry (POE) to countries. At 13 selected POE at the Nepal-India border, between March 2021 and July 2021, we describe the screening, testing, diagnosis and isolation practices of COVID-19 amongst travelers. Those who stayed in India or elsewhere for > one day and those who did not have a negative RT-PCR result within the last 72 h of travel were tested for COVID-19 with rapid antigen diagnostic tests.

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Globally, childhood tuberculosis constitutes up to 10% of overall tuberculosis cases. In Nepal, childhood tuberculosis has remained around 5.5% of overall tuberculosis cases and has remained stagnant over the years.

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Objective: This study systematically reviews the data extracted from the Global Burden of Disease Study and sets out to assess the age-specific and sex-specific mortality and disability attributable to different forms of tobacco from 1990 to 2017, for Nepal.

Design: This cross-sectional study extracted data from the Institute for Health Metrics and Evaluation's Global Burden of Disease database, then was quantitatively analysed to show the trends and patterns of prevalence of tobacco use, deaths and disability-adjusted life-years (DALYs) attributable to tobacco use from different diseases from the year 1990 to 2017 in Nepal.

Setting: Nepal.

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  • * A total of 434 inmates were screened, revealing that 68 had a persistent cough, and 6 out of 60 sputum samples tested positive for PTB, resulting in a prevalence rate of 1843 cases per 100,000 inmates.
  • * The findings highlight the need for enhanced screening and management strategies to address PTB transmission within the prison system.
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National Strategic Plan for tuberculosis care and control, Nepal ( 2016-2021) envisions ambitious target of decreasing TB incidence by 20% by 2021.In achieving so it has to identify and manage 20,000 more cases by 2021 compared to 2015. Contribution of private sector which roughly accounts to 25% of all the burden of tuberculosis cases in Nepal will be vitally important along with effective public private partnership.

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Background: There have been very limited studies regarding health of the cement factory workers in Nepal. This study aimed to find out the prevalence of health problems and the factors associated with respiratory symptoms among the workers of Udayapur cement factory.

Methods: This is a cross-sectional study conducted from March to August 2015 in Udayapur cement factory in eastern Nepal.

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Introduction: Exposure to dusts and hard physical work is common in developing industrialized countries. Acute and chronic respiratory illnesses are highly been reported from jute and textile industry. This study was undertaken to explore status of respiratory health among the workers of jute and textile industries.

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Objective: Worksite interventions can serve as a potential platform for translating existing knowledge of diabetes prevention and facilitate healthy food choices. The study explored perceptions about healthy eating as well as potential facilitators and barriers to healthy eating among employees in a wire manufacturing factory in Nepal.

Methods And Materials: We conducted a cross-sectional exploratory qualitative study in a wire manufacturing industry in eastern Nepal.

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