Ram Prasad Chaulagain

Dr. Ram Prasad Chaulagain

orcid

Research Focus & Metrics

Academic Career Length

4Years (2023-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

View All Publications
7 February 2025 in Annals of Medicine & Surgery
Verified
Journal Article
Open access
RCRam Prasad Chaulagain
Ram Prasad Chaulagain
YSYelona Mbbs Shrestha
Yelona Mbbs Shrestha
HSHarisharan Mbbs Shrestha
Harisharan Mbbs Shrestha
RBRameshor Bhandari
Rameshor Bhandari
PGPraful Gurung
Praful Gurung
Oxytocin, a neuropeptide, plays a significant role in modulating social behavior and has been widely studied for its potential impact on mental health disorders. This review examines the neurobiological mechanisms through which oxytocin influences mental health and its therapeutic potential in conditions such as autism spectrum disorder, schizophrenia, post-traumatic stress disorder, anxiety, and depression. Oxytocin enhances social bonding, trust, and empathy by modulating neural circuits linked to social interactions. Studies indicate that oxytocin’s ability to regulate the hypothalamic-pituitary-adrenal axis plays a vital role in stress response and emotional regulation. Therapeutic applications, particularly intranasal administration of oxytocin, have shown promise in alleviating symptoms and improving patient outcomes. However, personalized approaches are essential to optimize treatment effectiveness. Despite its potential, challenges remain in understanding the mechanisms underlying its effects and identifying the patient populations that would benefit most from such therapies. Future research should focus on elucidating these mechanisms, exploring the long-term efficacy of oxytocin-based interventions, and advancing personalized medicine to maximize its clinical utility.

22 May 2024 in Annals of Medicine & Surgery
Verified
Journal Article
Open access
RCRam Prasad Chaulagain
Ram Prasad Chaulagain
YSYelona Mbbs Shrestha
Yelona Mbbs Shrestha
KKKusha Mbbs K.C.
Kusha Mbbs K.C.
ABAbal Mbbs Baral
Abal Mbbs Baral
Introduction: Meningioma and vestibular schwannoma (VS) are the first and second most common benign central nervous system tumors. The coexistence of VS and meningioma presents a rare clinical scenario, particularly in pediatric patients. This report presents a case of bilateral VS with a cooccurring meningioma in a Nepali child and provides an overview of the literature on this condition. Case report: A 15-year-old male presented with bilateral sensorineural hearing loss, seizures, and neurological deficits and was ultimately diagnosed with concomitant bilateral acoustic neuroma and meningioma. The patient underwent radiosurgery for bilateral VS and nonoperative management of the meningioma. Long-term follow-up revealed symptomatic improvement, emphasizing the importance of a multidisciplinary approach in managing such complex cases. The management of these tumors requires tailored treatment strategies guided by tumor characteristics and associated risks. Discussion: Meningioma and VS are common tumors of the central nervous system. Their coexistence is possible in neurofibromatosis type 2 but is exceedingly rare in pediatric age group. The tumors, often coexisting, pose diagnostic challenges. Diagnosis relies on clinical and genetic features, with multidisciplinary management involving various specialists. Treatment aims to preserve function and quality of life, utilizing approaches such as bevacizumab and surgical intervention. The role of radiation therapy remains uncertain. Genetic testing and regular monitoring are vital for early detection and intervention. Conclusion: The cooccurrence of acoustic neuromas and meningiomas is poorly understood, with limited reported cases and unclear pathophysiological mechanisms. Further research into the genetic and molecular mechanisms underlying the coexistence of these tumors is needed to optimize patient outcomes in this rare clinical entity.

2 November 2023 in Research Square
Verified
Preprint
Open access
PDF file
XGXu Gao
Xu Gao
MAMaqsood Ali
Maqsood Ali
Wadhah Hassan EdreesWadhah Hassan Edrees
Wadhah Hassan Edrees
WAWadee Abdullah AL-shehari
Wadee Abdullah AL-shehari
RCRam Prasad Chaulagain
Ram Prasad Chaulagain
EQEglal Ahmed Qasem
Eglal Ahmed Qasem
Background and Aims: Candida species, opportunistic yeast, are the second most common cause of female vulvovaginal candidiasis. This study aimed to evaluate the antifungal susceptibility profile of the isolated Candida species in pregnant women in Hajjah governorate, Yemen. Materials and Methods: A hospital-based cross-sectional study was conducted among 396 pregnant women attending Authority AL-Gumhorri Hospital Hajjah between February and July 2023. Vaginal swabs were collected, and Candida species were isolated and identified based on the standard laboratory method. Furthermore, the antifungal drug susceptibility of Candida species was determined by the Kirby-Bauer technique. Results: The prevalence of vaginal Candida infection among pregnant women was 61.4%. Candida albicans was the most predominant species (59.26%), followed by C. krusei (13.58%), C. tropicalis (11.12%), C. glabrata (9.87%), and C. dublinensis (6.17%). The highest rate of Candida infections was among women aged 24–30 years (71.9%) who finished primary school (77.8%), with the third trimester (80%), multigravida (66.1%), and recurrent infection (67.7%) showing significant differences (P ˂ 0.05). The C. albicans isolates were resistant to clotrimazole and itraconazole at 34.7% and 23.6%, respectively. In addition, the resistance of C. krusei, C. tropicalis, C. glabrata, and C. dublinensis isolates to fluconazole, voriconazole, voriconazole, and nystatin was 57.6%, 63%, 43.8%, and 60%, respectively. Additionally, approximately 46.2% of isolated Candida albicans exhibited one kind of antifungal drug resistance, whereas 38.7% of isolated non-albicans exhibited resistance to three different antifungal agents. Conclusion: According to the above findings, Candida infection is highly prevalent in Yemen and quite widespread. Interventions in health education are advised to increase women's knowledge of vaginitis and its prevention. The antifungal susceptibility test may also be helpful in determining the best medication for each patient.
3