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Khadka D, Oh G, Kim H, Shen A, Lee S, Sharma S, Yang S, So H. PO-251 Modulation of NAD+levels by NQO1 enzymatic action alleviates adriamycin-induced cardiac dysfunction in mice. ESMO Open 2018. [DOI: 10.1136/esmoopen-2018-eacr25.284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
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Khadka D, Oh GS, Kim HJ, Lee SH, Shen A, Lee SB, Pandit A, Sharma S, Yang SH, So HS. Augmentation of NAD+ levels by enzymatic action of NAD(P)H quinone oxidoreductase 1 attenuates adriamycin-induced cardiomyopathy. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy047.052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Yang S, Kwon K, Khadka D, Oh G, Kim H, Lee S, Pandit A, Lee S, So H. P1.02-003 Prevention of Adriamycin-induced Cardiac Damage by NAD-Modulation Prevention of Adriamycin-induced Cardiac Damage by NAD-Modulation. J Thorac Oncol 2017. [DOI: 10.1016/j.jtho.2017.09.735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Dhakal S, Aryal P, Aryal S, Bashyal D, Khadka D. Phytochemical and antioxidant studies of methanol and chloroform extract from leaves of Azadirachta indica A. Juss. in Tropical region of Nepal. ACTA ACUST UNITED AC 2016. [DOI: 10.5897/jpp2016.0425] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Yang SH, Khadka D, Oh GS, Kim HJ, Lee SB, Pandit A, Lee S, So HS. Enzymatic action of NQO1 attenuates adriamycin-induced cardiotoxicity in mice. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw392.57] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Adhikary LP, Pokhrel A, Yadava SK, Khadka D, Thakur R. Relation between Serum Intact Parathyroid Hormone Level and Hematocrit in Chronic Kidney Disease Patients. Kathmandu Univ Med J (KUMJ) 2016; 13:220-3. [PMID: 27180367 DOI: 10.3126/kumj.v13i3.16811] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Background Anemia is a common complication of chronic kidney disease. There are various causes of anemia in chronic kidney disease patients on hemodialysis. Secondary hyperparathyroidism is one of the less recognized causes of anemia in chronic kidney disease patients. Objectives The main objective of the study is to find the correlation between intact parathyroid hormone and hematocrit level in chronic kidney disease (CKD) patients undergoing hemodialysis. Method Verbal consent was taken from all the participants. Eighty participants between the age of 29 and 70 years with chronic kidney disease having indication of hemodialysis were included in this study. Hematocrit was measured by bioelectrical impedance method and serum intact parathyroid hormone was by using Chemi Luminescence Immuno Assay (CLIA) method. Result A weak reverse correlation was found between serum intact parathyroid level and hematocrit (r= -0.33). Conclusion In chronic kidney disease patient, there is reverse correlation between level of serum intact parathyroid and hematocrit level. This association may have clinical relevance in assessing the cause of unexplained low hemoglobin level in CKD patients.
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Affiliation(s)
- L P Adhikary
- Division of Nephrology, Department of Internal Medicine, Kathmandu Medical College Teaching Hospital, Sinamangal, Kathmandu, Nepal
| | - A Pokhrel
- Division of Nephrology, Department of Internal Medicine, Kathmandu Medical College Teaching Hospital, Sinamangal, Kathmandu, Nepal
| | - S K Yadava
- Division of Nephrology, Department of Internal Medicine, Kathmandu Medical College Teaching Hospital, Sinamangal, Kathmandu, Nepal
| | - D Khadka
- Division of Nephrology, Department of Internal Medicine, Kathmandu Medical College Teaching Hospital, Sinamangal, Kathmandu, Nepal
| | - R Thakur
- Division of Nephrology, Department of Internal Medicine, Kathmandu Medical College Teaching Hospital, Sinamangal, Kathmandu, Nepal
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Upadhyaya P, Agarwal CS, Karak AK, Sinha AK, Karki S, Dhakal S, Khadka D. Microvessel density in Prostatic Lesions : Relevance to prognosis. J Pathol Nep 2016. [DOI: 10.3126/jpn.v6i11.15647] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Background: Angiogenesis is required for growth and metastasis of tumor tissue. Quantization of angiogenesis by calculating the microvessel density can be done in histopathology specimens with the help of immunochemistry. In this study we used anti CD 34 antibody to highlight the endothelial cells and thus calculate microvessel density. Most studies have shown a positive correlation of microvessel density with increasing pathological grade and have also shown microvessel density as an independent predictor of cancer progression and survival. The present study was to find out the microvessel density in benign and malignant lesions of prostate and also to correlate the vascularity with increasing grade of cancer.Materials and methods: Sixty five prostatic biopsies were evaluated for microvessel density using CD34 monoclonal antibody. Comparison was done between BPH and Carcinoma Prostate. MVD was correlated with Gleason’s score, weight of specimen and increasing age of patient. Effect of prostatitis on Microvessel density was studied.Results: Microvessel density was significantly higher in carcinoma prostate than in Benign Prostatic Hyperplasia. There was positive correlation of Microvessel density with increasing Gleason’s score. Microvessel was significantly increased in patients having symptoms for more than a year and also with biopsies revealing prostatitis. However, there was no significant correlation between Microvessel density and weight of specimen or increasing age.Conclusion: Since Microvessel density was found to be significantly higher in Prostatic Carcinoma and it showed positive correlation with Gleason’s score it can be added as one of the indicators for predicting the disease outcome.
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K C S, Sharma D, Khadka S, Karki N, Jaishi B, Regmi K, Khadka D. Prevalence of Gall Stones in Liver Cirrhosis. JNMA J Nepal Med Assoc 2015; 53:275-279. [PMID: 27746470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023] Open
Abstract
INTRODUCTION Increased incidence and prevalence of gallstones in liver cirrhosis has already been reported by many studies. This study aimed to investigate the prevalence of gallstone disease in Nepali patients with LC and to identify risk factors for gallstone formation. METHOD Consecutive patients of LC presenting to liver clinic from January, 2010 to December, 2012 were evaluated for GS by ultrasonography at their first visit. Liver cirrhosis was diagnosed on the basis of clinical features, laboratory parameters, ultrasonography, and/or histopathology. RESULT Two hundred and twenty four LC patients were studied. Male to female ratio was 2.3:1. Alcohol was the major etiological factor for LC followed by hepatitis B, alone or in conjunction with alcohol. Seventy-four patients (33%) were found to have GS. Incidence of GS was more in advance stage of cirrhosis. There was no significant correlation between formation of GS and etiology of LC, except for the HCV related liver cirrhosis, in which it was present in 39% of the patients. More the advance disease,more was the incidence as 57% of Child-C patients had GS. Portal vein diameter was also associated with GS formation. When portal vein diameter was more than 13 mm, there was more GS formation. CONCLUSIONS One third of the patients of LC showed GS at the presentation. Patients with HCV related cirrhosis are more prone to develop GS than other. Severity of the disease and portal vein diameter was found to be associated with GS formation.
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Affiliation(s)
- S K C
- Liver Unit, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal, Norvic International Hospital, Kathmandu, Nepal
| | - D Sharma
- Liver Unit, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal
| | - S Khadka
- Liver Unit, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal
| | - N Karki
- Liver Unit, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal
| | - B Jaishi
- Liver Unit, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal
| | - K Regmi
- Liver Unit, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal
| | - D Khadka
- Liver Unit, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal
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Adhikary LP, Yadava SK, Pokharel A, Khadka D, Thakur R. Relation between Calcium, Phosphorus, Calcium-Phosphorus Index and iPTH in Chronic Kidney Disease Patients. J Nepal Health Res Counc 2015; 13:50-53. [PMID: 26411713] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
BACKGROUND The disturbance in homeostasis of calcium, phosphorus, vitamin D, and parathyroid hormone are frequently seen in chronic kidney disease patients. It is vital for physician to know the relation among them to treat chronic kidney disease patients. The main objective of the study is to 1) gather and analyze the data from chronic kidney disease patients undergoing dialysis to find out intact parathyroid hormone status 2) the relation between level of serum calcium, serum phosphorus, calcium-phosphorus index and serum intact parathyroid hormone in Nepalese population. METHODS Verbal consent was taken from all the participants. Eighty participants between the age of 29 and 70 years with chronic kidney disease having indication of emergency hemodialysis were included in this study. Serum calcium, and phosphorus were measured by Fully Automatic Biochemistry Analyzer, and serum intact parathyroid hormone (iPTH) was measured using Chemi Luminescence Immuno Assay (CLIA) method. RESULTS There is positive correlation between high calcium - phosphorus index and raised serum intact parathyroid hormone (r= 0.30).The relation is also true for serum calcium level and serum intact parathyroid hormone (r= 0.38). There is weak negative correlation between serum phosphorus and serum intact parathyroid hormone (r= -0.03). CONCLUSIONS In Chronic kidney disease patients, high serum calcium or calcium - phosphorus index associated with raised level of serum intact parathyroid hormone and reverse is true for increased serum phosphate level. The relation may guide physician to suspect hyperparathyroidism in chronic kidney disease patients and manage the complications related to hyperparathyroidism like renal mineral bone disease, anemia resistant to erythropoietin.
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Affiliation(s)
- L P Adhikary
- Division of Nephrology, Department of Internal Medicine, Kathmandu Medical College Teaching Hospital, Kathmandu Nepal
| | - S K Yadava
- Division of Nephrology, Department of Internal Medicine, Kathmandu Medical College Teaching Hospital, Kathmandu Nepal
| | - A Pokharel
- Division of Nephrology, Department of Internal Medicine, Kathmandu Medical College Teaching Hospital, Kathmandu Nepal
| | - D Khadka
- Division of Nephrology, Department of Internal Medicine, Kathmandu Medical College Teaching Hospital, Kathmandu Nepal
| | - R Thakur
- Division of Nephrology, Department of Internal Medicine, Kathmandu Medical College Teaching Hospital, Kathmandu Nepal
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Khadka D, Sharma AK, Shrestha JK, Pant B, Pant S, Shrestha A. Nd: Yag laser treatment for sub-hyaloid hemorrhage in childhood acute leukemia. Nepal J Ophthalmol 2012; 4:102-7. [PMID: 22344006 DOI: 10.3126/nepjoph.v4i1.5860] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
INTRODUCTION Sub-hyaloid haemorrhage is common in acute leukemia. OBJECTIVE To investigate the effects of Nd: YAG Laser hyaloidotomy in 11 eyes of 8 patients with pre-macular haemorrhage in acute childhood leukemia. MATERIALS AND METHODS Premacular sub-hyaloid haemorrhage is one of the leading causes of visual disability in children with acute leukemia. Eleven eyes of 8 patients attending Kanti Children Hospital and BP Koirala Lions Centre for Ophthalmic Studies from January 2006 to July 2007 with premacular subhyaloid haemorrhage were included in the study and treated with Nd: YAG Laser. The haemorrhage originated from acute myeloid leukemia (AML) in 4 cases (6 eyes) and acute lymphoblastic leukemia (ALL) in 4 cases (5 eyes). RESULTS Drainage of premacular sub-hyaloid haemorrhage into the vitreous cavity within 3 months succeeded in 9 eyes out of 11 eyes treated. One eye had a dense clotted haemorrhage and the other had a re-bleed. Overall visual improvement was equal in both AML and ALL cases. No obvious epiretinal membrane, retinal breaks and tractional retinal detachment occurred in any eye. CONCLUSION Nd: Yag laser hyaloidotomy is a relatively safe, simple and alternative treatment for eyes with a dense premacular sub-hyaloid haemorrhage in acute childhood leukemia. The risks and benefits have to be weighed in randomized clinical trials to establish Nd: YAG hyaloidotomy treatment as a routine procedure in leukemic children.
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Affiliation(s)
- D Khadka
- Geta Eye Hospital, Dhanagadi, Nepal.
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Abstract
Retinal vasculitis is an idiopathic inflammatory venous occlusion primarily affecting the peripheral retina of otherwise healthy young adults. Eales' disease is recognized as primary vasculitis of unknown etiology occurring in young adults. This article aims at the overall review of the etiopathogenesis, clinical presentations, pathology, management and prognosis of retinal vasculitis.
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Affiliation(s)
- J K Shrestha
- Department of Ophthalmology, Institute of Medicine, BPKLCOS, Kathmandu, Nepal
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