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Search Results: 1 - 10 of 401283 matches for " M Barakoti "
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Acute ST segment elevation MI with Normal Coronaries
M Barakoti,SC Jha,SM Acharya,CM Paudel
Nepalese Heart Journal , 2011, DOI: 10.3126/njh.v8i1.8335
Abstract: A 45 year-old man with no history of cardiac disease presented to the emergency department with typical angina chest pain of >24 hours duration. He was not thormbolyzed due to late presentation. Having elevated troponin and CK-MB levels and an electrocardiogram demonstrating anterolateral ST segment elevation and persistent of angina pain prompted coronary angiography which could be done only after 3 weeks of symptom onset due to financial constraint; which revealed coronary vessels free of significant disease. An echocardiogram showed dilatation of all cardiac chambers with hypokinesia of anterior wall and mid-septum and akinesia of apex. There was moderate mitral regurgitation and moderate tricuspid regurgitation and moderate systolic dysfunction. A number of conditions can lead to ST segment elevation MI with normal epicardial coronary anatomy. We report a case possibly due to autothrombolysis. Treatment to such cases would be symptomatic drug therapy with reassurance and risk factor reduction. DOI: http://dx.doi.org/10.3126/njh.v8i1.8335 Nepalese Heart Journal Vol.8(1) 2011 pp.33-36
Depression in medical studients
B Barakoti
Journal of Kathmandu Medical College , 2012, DOI: 10.3126/jkmc.v1i1.7256
Abstract: DOI: http://dx.doi.org/10.3126/jkmc.v1i1.7256 Journal of Kathmandu Medical College, Vol. 1, No. 1, Issue 1, Jul.-Sep., 2012 pp.45-46
Commercial utilization of Allo (Girardinia diversifolia) by the Rais of Sankhuwasabha for income generation
Tanka P Barakoti,Keshav P Shresta
Banko Janakari , 2008, DOI: 10.3126/banko.v18i1.2162
Abstract: Studies carried out during 1999 and 2000 on utilization of Allo (Girardinia diversifolia L.) in the eastern hills revealed that traditional knowledge was highly used in developing commercial enterprise of this species. Surveys conducted on various aspects of this species through semi-structured interview identified that Allo has become an established income generating commodity in Bala, Sisuwa, Tamku and Mangtewa VDCs of Sankhuwasabha district.
Hypertension in the elderly: Are we all on the same wavelength?
Sadip Pant,Pritam Neupane,Khatri Chhetri Ramesh,Murari Barakoti
World Journal of Cardiology , 2011, DOI: 10.4330/wjc.v3.i8.263
Abstract: Hypertension is of frequent occurrence in the elderly population. Isolated systolic hypertension (ISH) accounts for the majority of cases of hypertension in the elderly. ISH is associated with a 2-4-fold increase in the risk of myocardial infarction, left ventricular hypertrophy, renal dysfunction, stroke, and cardiovascular mortality. There have been many studies to determine the optimal treatment for hypertension in the elderly. Why, when and how to treat hypertension in the elderly was the scope of the majority of these trials. Despite countless efforts many aspects remain obscure. While a number of novel drugs are being developed, the issue of whether all antihypertensive drugs bestow parallel benefits or whether some agents offer a therapeutic advantage beyond blood pressure control remains of crucial importance. Furthermore, the response of the elderly to different antihypertensive agents also differs from that of younger patients and may explain some of the disparities in outcomes of trials conducted in elderly patients with hypertension.
Quality of Chiretta (Swertia chirayita) in Cultivated and Wild Samples Collected from Different Districts of Nepal
Tanka P Barakoti,Narendra N Tiwari,Minoba Yonzon
Nepal Journal of Science and Technology , 2012, DOI: 10.3126/njst.v13i2.7715
Abstract: An experiment under the scaling up project of ARS Pakhribas was conducted to identify quality and compare the cultivated and wild Chiraito ( Swertia chirayita ) samples collected from eastern, central and western regions hill districts during 2004. This work aimed to identify best sites/ districts for quality production of this important medicinal herb through cultivation and conservation for initiating export of value added quality product in a sustainable way. Processed product is cheaper to send the overseas market as the volume and weight are decreased. Quality analysis is necessary to ensure quality standard of international market in the context of WTO. Assessment of the collected samples was done by quantifying the extract content and analyzing bitter principle in the Herbs Production and Processing Company lab, Kathmandu. The result revealed that extract content and bitter principle percent varied depending upon different agro-eco growing conditions and extraction method. Hot extraction gave more extract of the plant than cold percolation method. Wild samples, in general, contained higher bitter principle than cultivated, whereas extract content was higher in cultivated Chiraito. The international market could be better ensured with such study result. Nepal Journal of Science and Technology Vol. 13, No. 2 (2012) 57-62 DOI: http://dx.doi.org/10.3126/njst.v13i2.7715
Clinical, MRI and Arthroscopic Correlation in Internal Derangement of Knee
U K Sharma,B K Shrestha,S Rijal,B Bijukachhe,R Barakoti,B Banskota,I Pradhan,A K Banskota
Kathmandu University Medical Journal , 2011, DOI: 10.3126/kumj.v9i3.6300
Abstract: Background The traumatic or degenerative internal derangement of the knee requires certain investigations for the establishment of diagnosis, in addition to clinical history and a thorough physical examination. The use of arthrography and arthroscopy improves the accuracy of the diagnosis. MRI scanning of the knee joint has often been regarded as the noninvasive alternative to diagnostic arthroscopy. Objective The purpose of the study was to correlate clinical and low field MRI findings with arthroscopy in internal derangement of the knee. Methods Forty one patients with suspected internal derangement of the knee were subjected to MR examination followed by arthroscopy. Clinical criteria used were history, mode of injury, Mc Murray’s, Apley’s grinding, Thessaly’s test for meniscal injury. Drawer test was considered to be essential for clinical diagnosis of cruciate ligament injury. MRI of the knee was performed in low field open magnet (0.35T, Magnetom C, Seimens). Arthroscopy was done within two months of MR examination and was considered gold standard for the internal derangement of the knee. Results The sensitivity, specificity, diagnostic accuracy of clinical examination were 96.1%, 33.3% and 73.1% respectively for medial meniscal tear; 38.4%, 96.4% and 78.1% respectively for lateral meniscal tear. The sensitivity, specificity, diagnostic accuracy of MRI were 92.3%,100% and 95.1% for medial meniscal tear; 84.6%96.4% and 92.6% respectively for lateral meniscal tear. Conclusion Clinical examination showed higher sensitivity for medial meniscal tear compared to MRI, however with low specificity and diagnostic accuracy. Low field MRI showed high sensitivity, specificity, diagnostic accuracy for meniscal and cruciate ligament injury, in addition to associated derangement like articular cartilage damage, synovial thickening. DOI: http://dx.doi.org/10.3126/kumj.v9i3.6300 Kathmandu Univ Med J 2011;9(3):174-8 ？
Study of Duct Characteristics Deduced from Low Latitude Ground Observations of Day-Time Whistler at Jammu  [PDF]
M. Altaf, M. M. Ahmad
International Journal of Astronomy and Astrophysics (IJAA) , 2013, DOI: 10.4236/ijaa.2013.33032
Abstract:

Propagation characteristics of low latitude whistler duct characteristics have been investigated based on day-time measurements at Jammu. The morphogical characteristics of low latitude whistlers are discussed and compared with characteristics of middle and high latitude whistlers. The Max. electron density (Nm) at the height of the ionosphere obtained from whistler dispersion comes out to be higher than that of the background which is in accordance with the characteristics of whistler duct. The equivalent width is found to be close to the satellite observations and the characteristics of whistler duct in low latitude ionosphere are similar to those in middle and high latitude ionosphere. The width of ducts estimated from the diffuseness of the whistler track observed during magnetic storm is found to lie in the range of 50 - 200 Km.

Review Article: Immobilized Molecules Using Biomaterials and Nanobiotechnology  [PDF]
Magdy M. M. Elnashar
Journal of Biomaterials and Nanobiotechnology (JBNB) , 2010, DOI: 10.4236/jbnb.2010.11008
Abstract: Immobilized molecules using biomaterials and nanobiotechnology is a very interesting topic that touching almost all aspects of our life. It uses the sciences of biology, chemistry, physics, materials engineering and computer science to develop instruments and products that are at the cutting edge of some of today’s most promising scientific frontiers. In this review article, the author based on his experience in this arena has tried to focus on some of the supports for im-mobilization; the most important molecules to be immobilized such as DNA, cells, enzymes, metals, polysaccharides, etc and their applications in medicine, food, drug, water treatment, energy and even in aerospace. He specified a special section on what is new in the arena of supports and technologies used in enzyme immobilization and finally a recommendation by the author for future work with a special attention to up-to-date references.
Using of the generalized special relativity (GSR) in estimating the neutrino masses to explain the conversion of electron neutrinos  [PDF]
M. H. M. Hilo
Natural Science (NS) , 2011, DOI: 10.4236/ns.2011.34044
Abstract: In this work the Generalized Special Relativity (GSR) is utilized to estimate masses of some elementary particles such as, neutrinos. These results are found to be in conformity with experimental and theoretical data. The results obtained may explain some physical phenomena, such as, conversion of neutrinos from type to type when solar neutrino reaches the Earth.
Postischemic Lower Extremity Wounds Treated with and without Negative Pressure Dressing  [PDF]
Naz？m Gümü？
Surgical Science (SS) , 2012, DOI: 10.4236/ss.2012.37075
Abstract: Background: Vacuum-assisted dressing is a noninvasive closure system of the wound, which makes localized and controlled negative pressure. Its mechanical tension reduces edema, stimulates granulation tissue formation and angiogenesis, and prepares the wound bed for closure. In this study, a patient has been presented, who suffered from serious lower extremity wounds due to arterial emboli, one of her wounds has been treated with vacuum-assisted dressing and the other with conventional dressing to evaluate the efficacy of vacuum-assisted dressing in acute ischemic wounds. Methods: A 65-year-old female patient was admitted to the emergency clinic, due to complaint of severe pain in her right lower extremity which suggested an acute arterial occlusion. She immediately underwent an embolectomy operation; however, a few days later, severe ischemia on the leg and foot became appearant. All of the necrosis was sharply debrided under sterile conditions in the operating room, and then lower leg wound was covered with vacuum-assisted dressing, also calcaneal wound was dressed with silver sulphadiazine. Results: Eighteen days after the first dressing with negative pressure, distal leg wound became ready for closure, whereas, enough granulation tissue over the calcaneal area developed merely thirty-four days later. Calcaneal wound closed spontaneously within fifty-three days. Conclusions: When dealing with this experience, using the negative pressure dressing in patient with severe lower limb wounds following arterial emboli, accelerates wound healing by means of developing the granulation tissue, and rapidly prepares the wound for closure, so it may reduce the risk of amputation.
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