https://hdl.handle.net/20.500.14356/1797 2026-04-14T13:06:16Z https://hdl.handle.net/20.500.14356/1863 Title: Non-communicable Diseases in Nepal: Challenges and Opportunities Authors: Kallestrup, P; Neupane, D Abstract: Abstract Non-communicable diseases constitute a major public health problem in Nepal. They are already killing more people than communicable diseases. However, addressingn on-communicable diseases is not getting much attention from the government, academicians and development partners.Simple measures at population and individual level have not been implemented in an effective way. The vision on how to address non-communicable diseases at primary health care level is unclear. However, there is aunique possibility of integrating non-communicable diseases into the existing communicable diseases interventions which need to be tested and potential positive lessons have to be scaled up as soon as possible. The best buy approach as proposed by WHO could be implemented for non-communicable diseases prevention and management through primary health care approach. Description: Viewpoint 2013-01-01T00:00:00Z https://hdl.handle.net/20.500.14356/1862 Title: Understanding the Burden of Disease in Nepal: a Call for Local Evidence Authors: Pun, S B; Pandey, B D; Speybroeck, N; Dorny, P; Lake, R; Dhakal, P; Devleesschauwer, B; Ale, A; Duchateau, L Abstract: Abstract The burden of disease, most commonly expressed in terms of Disability-Adjusted Life Years, has become a crucial component in decision making processes within the health sector. In Nepal, however, burden of disease estimates are scarce and lack representativeness. To improve our understanding of the burden of disease in Nepal and thereby increase the efficiency of health policies, there is an urgent need to strengthen thelocal evidencebased. All relevant stakeholders should therefore collaborate to generate new data, improve existing data generation mechanisms, make generated data available, and optimize the use of available data. Description: Viewpoint 2013-01-01T00:00:00Z https://hdl.handle.net/20.500.14356/1861 Title: Retroperitoneal Schwannoma: A Rare Presentation Authors: Basnet, R; Lakhey, P J; Kafle, B; Bhandari, R Abstract: Abstract The Schwannoma is nerve sheath tumor originating from Schwann cell of peripheral nerve and is commonly found in head,neck and flexor surface of extremities. Only few cases have been reported to be found in retroperitoneum.Here, we describe a 21 year old female lady who presented to our centre with lump and pain in right iliac fossa and was found to have Schwannoma by CT scan and Fine needle aspiration cytology.She underwent laparotomy and excision of tumor andwas confirmedto have Schwannoma on histopathological examination. Description: Case Report 2013-01-01T00:00:00Z https://hdl.handle.net/20.500.14356/1860 Title: Palliative Intensity Modulated Radiation Therapy for Symptomatic Adrenal Metastasis Authors: Mod, H; Patel, V Abstract: Abstract Metastasis to the adrenal glands is quite common; especially from melanomas, breast, lung, renal and gastro-intestinal tumours. The most common tumour found in the adrenals in post mortem series is a metastatic tumour; incidence ranging from 13 to 27%. The diagnosis of adrenal metastasis is now more common and easier due to staging and subsequent follow up with Computed tomography /Magnetic resonance imaging and or positron emission tomography-computed tomography imaging studies. Most of the times these metastatic lesions are clinically occult and those that do have clinical symptoms complain of pain, nausea, vomiting and early satiety. We irradiated a patient of non small cell lung cancer with adrenal metastasis with palliative Intensity Modulated Radiation Therapy and achieved a good response in terms of pain relief, stable disease and no side effects of the treatment Description: Case Report 2013-01-01T00:00:00Z