Publications by authors named "T R Koirala"
Objectives: We aimed to improve the operational efficiency of clinical staff, including physicians and allied health professionals, in the previsit review of patients by implementing a disease-focused dashboard within the electronic health record system. The dashboard was tailored to the unique requirements of the clinic and patient population.
Methods: A prospective quality improvement study was conducted at an accredited pulmonary hypertension (PH) clinic within a large academic center, staffed by two full time physicians and two allied health professionals.
Background And Objective: Robotic-assisted bronchoscopy (RAB) has emerged as an advanced technology for lung cancer diagnosis. This review explores the three approved robotic bronchoscopy systems: Ion™ Endoluminal (Intuitive Surgical, Sunnyvale, CA, USA), Monarch™ (Johnson & Johnson, Redwood City, CA, USA), and Galaxy System™ (Noah Medical, San Carlos, CA, USA), and their different operational systems. This narrative review aims to summarize their findings and outcomes for sampling peripheral pulmonary lesions (PPL) suspected of lung cancer.
View Article and Find Full Text PDFIntroduction: The widespread use of computed tomography as a screening tool for early lung cancer has increased detection of pulmonary lesions. It is common to encounter patients with more than one peripheral pulmonary nodule (PPN) of uncertain etiology. Shape-sensing robotic-assisted bronchoscopy (ssRAB) emerges as a potential alternative to biopsy multiple PPN, in addition to mediastinal staging in single anesthetic procedure.
View Article and Find Full Text PDFObjectives: To determine the prevalence of, and understand the factors associated with, hypertension among the nomadic Raute hunter-gatherers of Western Nepal.
Design: A mixed-method study.
Setting: The study was carried out at Raute temporary campsites in the Surkhet District of Karnali Province between May and September 2021.
Article Synopsis
- A cross-sectional study conducted in three diabetes clinics in Pokhara, Nepal aimed to assess the prevalence and associated factors of anxiety and depression among 283 individuals with type 2 diabetes mellitus (T2DM) from May to July 2021.
- The results showed that 31.4% of participants experienced anxiety and 36.4% suffered from depression, with significant correlations identified such as lower social support and the presence of multiple health complications.
- Factors such as severe COVID-19 fear, economic dependency, lack of insurance, alcohol use, and sleep dissatisfaction were also significantly linked to increased levels of anxiety and depression among those surveyed.