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https://alisertibinhibitor.com/?p=13496&preview=true This was a potential observational research in clients who had undergone pancreaticoduodenectomy from March 2017 to June 2018 at Tribhuvan University training Hospital, Kathmandu, Nepal. The clients as we grow older <16 years, those who underwent re-exploration or death before 3rd postoperative day, extra surgery besides pancreaticoduodenectomy were omitted through the research. Pancreatic configuration list was determined as a ratio of pancreatic parenchymal width and pancreatic duct diameter. Predictive value of pancreatic setup list in predicting post-operative pancreatic fistula ended up being assessed. Among 58 clients, 9 were omitted from research and 49 clients were included in the study. The mean age the patients ended up being 56.6 ± 13.9 years (21 to 79 many years) and male to female proportion had been 1.11 (26 vs 23). Post-operative pancreatic fistula developed in 13/49 (26.5%) patients. On both univariate and multivariate evaluation, pancreatic surface (p = 0.022), main pancreatic duct diameter at throat (p = 0.002) and pancreatic setup index (p = 0.001) had been somewhat connected with development of post-operative pancreatic fistula. The susceptibility and specificity of pancreatic configuration index to predict post-operative pancreatic fistula are 92.3% and 91.7% with good predictive value of 80% and bad predictive worth of 97.1per cent. This cross-sectional study was carried out in central, provincial, and neighborhood amount wellness facilities of the Government of Nepal to assess the point of view of medical doctors regarding COVID-19 pandemic readiness in their center. Nonprobability sampling had been utilized to get 56 responses from medical practioners employed in various hospitals of Nepal. An on-line survey had been carried out utilizing a questionnaire device, that has been adapted through the directions of the World Health Organization and the facilities for infection Control and Prevent

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