Mahendra Poudel

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BACKGROUND Naegleria fowleri is a climate-sensitive, thermophilic ameba found in the environment, including warm, freshwater lakes and rivers. Primary amebic meningoencephalitis (PAM), which is almost universally fatal, occurs when N. fowleri-containing water enters the nose, typically during swimming, and N. fowleri migrates to the brain via the olfactory(More)
OBJECTIVES to evaluate the diagnostic value of clinical symptoms and signs in enteric fever and to propose a clinical diagnostic criterion. DESIGN Prospective observational study. SETTING Kathmandu Medical College, Teaching Hospital, Kathmandu, Nepal. MATERIALS AND METHODS febrile patients with clinical diagnosis of enteric fever were included in the(More)
INTRODUCTION Gender equality has been a priority area of demographic research. One of the major reasons for high fertility and low acceptance of family planning is the prevalence of gender preference among couples. The objectives of this study were to identify the determinants and examine the extent of gender preference on fertility. METHODS This is a(More)
A hospital based cross-sectional study was conducted from March 2005 to April 2006 to evaluate the distribution of various respiratory diseases by spirometry. A total of 228 consecutive cases referred for spirometry were included of which 65% were male and 35% female. COPD was the commonest referral diagnosis (40%) followed by the diagnosis of shortness of(More)
Marfans syndrome is an Autosomal dominant disorder of the connective tissues resulting in abnormalities of the musculoskeletal system, cardiovascular system and eyes. It has a prevalence of 1 in 100,000 population1 and occurs in all ethnic groups. It may be familial or due to new mutation (30%), in the fibrillin gene on arm of chromosome 15. It is estimated(More)
Mr. BC, 25 year old farmer from Sarlahi district, Hindu by religion, was admitted in medical ward of Kathmandu Medical College & Teaching Hospital on 2060/05/31 with the chief complaints of generalised weakness of whole body, easy fatigability, difficulty in speaking, drooping of both the eyelids for the past 9 months. All his symptoms used to be worse on(More)
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