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  1. AU="Parajuli, Bashu Dev"
  2. AU=Clement Karine
  3. AU=Moon Du Geon
  4. AU="Boone, Charles"
  5. AU="Sarah Ngeet Mei Chin"
  6. AU="Wang, Mingli"
  7. AU="Soniwala, Sarah"
  8. AU=Stahlberg Anders
  9. AU="Stewart, Tracy Murray"
  10. AU="Kong, Tsz-Ho"
  11. AU="Rennie, Sarah C"
  12. AU="Haider, Nafees"
  13. AU="Austin, Eric D"
  14. AU="Czechowicz, Agnieszka D"
  15. AU="Nume, Cosimo"
  16. AU=Cianferoni Antonella
  17. AU="Fernandez, Sarai Quirós"
  18. AU="Hajiabadi, Fatemeh"
  19. AU="Aslam, Muhammad M"
  20. AU="Wang, Xiangpei"
  21. AU="Stacey, Jemaine E"
  22. AU="Yu, Young Suk"
  23. AU=Agius R M AU=Agius R M
  24. AU="Hammer, Rachel A"
  25. AU="Dreyfuss, Jonathan M"
  26. AU="Eleanor Turner-Moss"

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  1. Artikel ; Online: Knowledge and Attitude about Labor Epidural Analgesia among Pregnant Women Attending Antenatal Clinic.

    Parajuli, Bashu Dev / Koirala, Megha / Joshi, Pankaj / Katuwal, Neeta / Shrestha, Amit / Singh, Shreejana / Rawal, Suniti / Shrestha, Anil

    Journal of Nepal Health Research Council

    2024  Band 21, Heft 4, Seite(n) 623–628

    Abstract: Background: Labour pain is one of the most painful experiences that a woman faces in her lifetime. There are various options for labour pain management. Epidural analgesia is the gold standard method for pain management during labour. In developing and ... ...

    Abstract Background: Labour pain is one of the most painful experiences that a woman faces in her lifetime. There are various options for labour pain management. Epidural analgesia is the gold standard method for pain management during labour. In developing and under-developed countries there are many challenges to provide this service, a very important one being knowledge about epidural analgesia among the parturients and the physicians.
    Methods: A prospective cross-sectional study was carried out among 384 pregnant women attending Antenatal clinic of a tertiary level teaching hospital using pretested structured questionnaire prepared by a team of anaesthesiologists and obstetricians. Non-probability purposive sampling technique was used. The data was analysed by using SPSS version 20.0. Descriptive and inferential statistical methods were used for analysis.
    Results: Of the 384 pregnant women, only 29.4% had knowledge about some form of labour analgesia techniques and only 16% of the participants were aware of labour epidural analgesia. Also, only 6.2% were aware that epidural service is available at our hospital. Regarding acceptance, only 42.4% were willing to use epidural analgesia in their present pregnancy.
    Conclusions: The present study findings revealed that a significant number of participants had very limited knowledge about labour epidural analgesia and were also unaware of the availability of the service in our hospital. Educational programs need to be provided to all the pregnant women for enhancement of knowledge and awareness about epidural labour analgesia to increase its acceptability among them.
    Mesh-Begriff(e) Female ; Humans ; Pregnancy ; Analgesia, Epidural ; Cross-Sectional Studies ; Pregnant Women ; Prospective Studies ; Nepal ; Hospitals, Teaching ; Labor Pain/therapy
    Sprache Englisch
    Erscheinungsdatum 2024-03-31
    Erscheinungsland Nepal
    Dokumenttyp Journal Article
    ZDB-ID 2551251-1
    ISSN 1999-6217 ; 1999-6217
    ISSN (online) 1999-6217
    ISSN 1999-6217
    DOI 10.33314/jnhrc.v21i4.4862
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: Anaesthetic Management of a Patient with Fontan Circulation for Laparoscopic Cholecystectomy.

    Parajuli, Bashu Dev / Suwal, Allen / Sharma Bhattrai, Amit / Ghimire, Basanta / Joshi, Pankaj / Koirala, Megha / Singh Kansakar, Prasan Bir

    Journal of Nepal Health Research Council

    2023  Band 20, Heft 3, Seite(n) 801–803

    Abstract: Fontan circulation is a complex surgical procedure carried out in infants in a staged fashion, where caval circulation is connected to the pulmonary circulation, bypassing the heart. The ventricular activity will drive the blood to pulmonary circulation, ...

    Abstract Fontan circulation is a complex surgical procedure carried out in infants in a staged fashion, where caval circulation is connected to the pulmonary circulation, bypassing the heart. The ventricular activity will drive the blood to pulmonary circulation, which, after oxygenation, will return to heart and then will distribute through-out the body. The pulmonary vascular resistance determines the preload, which further depends upon the volume status of the body. This physiology is further complicated by the presence of arrythmia, liver cirrhosis, caval-pulmonary shunt thrombosis and low ventricular activity. Anaesthetic implication of such case includes challenges to manage preload, maintenance of pulmonary vascular resistance, preservation of the single ventricular function and avoidance of circuit thrombosis. Here we present a case of 15 years female who presented to our centre for laparoscopic cholecystectomy. Keywords: Cholecystectomy; Circulation; Laparoscopic.
    Mesh-Begriff(e) Infant ; Humans ; Female ; Fontan Procedure/methods ; Cholecystectomy, Laparoscopic ; Nepal ; Thrombosis ; Anesthetics
    Chemische Substanzen Anesthetics
    Sprache Englisch
    Erscheinungsdatum 2023-03-10
    Erscheinungsland Nepal
    Dokumenttyp Case Reports ; Journal Article
    ZDB-ID 2551251-1
    ISSN 1999-6217 ; 1999-6217
    ISSN (online) 1999-6217
    ISSN 1999-6217
    DOI 10.33314/jnhrc.v20i3.3745
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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    Über subito bestellen

    Dieser Service ist kostenpflichtig (siehe Lieferbedingungen von subito). Bestellungen, die einen Artikel nebst Supplementary Material umfassen, werden grundsätzlich wie mehrfache Bestellungen bearbeitet. Gebühren fallen in diesen Fällen für jede einzelne Bestellung an.

  3. Artikel: Comparison of acute physiology and chronic health evaluation II and acute physiology and chronic health evaluation IV to predict intensive care unit mortality.

    Parajuli, Bashu Dev / Shrestha, Gentle S / Pradhan, Bishwas / Amatya, Roshana

    Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine

    2015  Band 19, Heft 2, Seite(n) 87–91

    Abstract: Context: Clinical assessment of severity of illness is an essential component of medical practice to predict the outcome of critically ill-patient. Acute Physiology and Chronic Health Evaluation (APACHE) model is one of the widely used scoring systems.!# ...

    Abstract Context: Clinical assessment of severity of illness is an essential component of medical practice to predict the outcome of critically ill-patient. Acute Physiology and Chronic Health Evaluation (APACHE) model is one of the widely used scoring systems.
    Aims: This study was designed to evaluate the Performance of APACHE II and IV scoring systems in our Intensive Care Unit (ICU).
    Settings and design: A prospective study in 6 bedded ICU, including 76 patients all above 15 years.
    Subjects and methods: APACHE II and APACHE IV scores were calculated based on the worst values in the first 24 h of admission. All enrolled patients were followed, and outcome was recorded as survivors or nonsurvivors.
    Statistical analysis used: SPSS version 17.
    Results: The mean APACHE score was significantly higher among nonsurvivors than survivors (P < 0.005). Discrimination for APACHE II and APACHE IV was fair with area under receiver operating characteristic curve of 0.73 and 0.79 respectively. The cut-off point with best Youden index for APACHE II was 17 and for APACHE IV was 85. Above cut-off point, mortality was higher for both models (P < 0.005). Hosmer-Lemeshow Chi-square coefficient test showed better calibration for APACHE II than APACHE IV. A positive correlation was seen between the models with Spearman's correlation coefficient of 0.748 (P < 0.01).
    Conclusions: Discrimination was better for APACHE IV than APACHE II model however Calibration was better for APACHE II than APACHE IV model in our study. There was good correlation between the two models observed in our study.
    Sprache Englisch
    Erscheinungsdatum 2015-02-26
    Erscheinungsland India
    Dokumenttyp Journal Article
    ZDB-ID 2121263-6
    ISSN 1998-359X ; 0972-5229
    ISSN (online) 1998-359X
    ISSN 0972-5229
    DOI 10.4103/0972-5229.151016
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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    Über subito bestellen

    Dieser Service ist kostenpflichtig (siehe Lieferbedingungen von subito). Bestellungen, die einen Artikel nebst Supplementary Material umfassen, werden grundsätzlich wie mehrfache Bestellungen bearbeitet. Gebühren fallen in diesen Fällen für jede einzelne Bestellung an.

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