Tribhuvan University Teaching Hospital

Silent Hypoxemia in High-Altitude Pulmonary Edema: A Case Report

We report a case of a trekker who ascended to Tilicho Lake (4919 m) from Kathmandu (1400 m) in 3 days. On day 3, he descended to Shree Kharka (4045 m). The following day, he trekked to Yak Kharka (4025 m) where, although he had no symptoms, he measured his own oxygen saturation (...

Arterial tortuosity syndrome with coronary artery involvement in a middle-aged female: A case report

Arterial tortuosity syndrome (ATS) is a rare autosomal recessive connective-tissue arteriopathy characterized by diffuse elongation and tortuosity of large and medium-sized arteries. Although it is typically diagnosed during childhood, adult presentation may occur and can be over...

A cross-sectional study of health literacy and its association with non-communicable disease risk factors among retired Gurkha veterans in western Nepal

Health literacy strongly shapes health behavior and disease outcomes, yet little is known about it among retired veterans in low-resource settings. Retired Gurkha veterans of Nepal are one such ageing, underserved group, carrying a high burden of non-communicable disease (NCD) ri...

Vaccine Cold Chain Performance Across Seven Provinces and Two Seasons in Nepal: Findings from a Nationwide Temperature Monitoring Study

Background: Maintaining vaccines at 2–8 °C from manufacture to administration is a prerequisite for potency, yet cold chain failures remain common in low- and middle-income countries. The World Health Organization (WHO) recommends that every country conduct a temperature monitori...

Neurogenic Paradoxical Vocal Fold Motion: A Systematic Review of Central and Pheripheral Nervous System Disorders

OBJECTIVE(S): To systematically synthesize published evidence on paradoxical vocal fold motion associated with confirmed central or peripheral neurological disorders, with emphasis on neuroanatomic correlations, clinical presentation, management strategies, and treatment outcomes...

Left Atrial Strain Impairment in Embolic Stroke of Undetermined Source: A Systematic Review and Meta-Analysis

Embolic stroke of undetermined source (ESUS) accounts for approximately one-third of all ischemic strokes. Atrial cardiomyopathy, independent of paroxysmal atrial fibrillation, is an increasingly recognized embolic substrate. Left atrial (LA) strain assessed by speckle-tracking e...

Incidence and factors associated with surgical site infection following coronary artery bypass grafting in Nepal: a prospective single-center study

Background: Surgical site infection (SSI) is an important complication following coronary artery bypass grafting (CABG), yet prospective data from low- and middle-income countries, including Nepal, are limited. This study aimed to determine the 30-day incidence of SSI following C...