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JNMA; Journal of the Nepal Medical Association

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https://www.readbyqxmd.com/read/29255324/cholera-outbreak-in-gaidataar-a-lesson-for-further-strengthening-the-task-force-for-epidemic-management-in-nepal
#1
Sachin Yadav
Cholera is an acute enteric infection caused by the ingestion of bacterium Vibrio cholerae1. Cholera is transmitted through contaminated food and water. Prevention and preparedness of cholera require a coordinated multi-disciplinary approach. The extremely short incubation period enhances the potentially explosive pattern of outbreaks. Cholera can lead to severe dehydration and death if left untreated. The laboratory testing is required for antimicrobial sensitivity testing and for confirming the end of an outbreak...
July 2017: JNMA; Journal of the Nepal Medical Association
https://www.readbyqxmd.com/read/29255323/incisional-hernia-repair-current-perspectives
#2
Badri Man Shrestha
No abstract text is available yet for this article.
July 2017: JNMA; Journal of the Nepal Medical Association
https://www.readbyqxmd.com/read/29255322/mastoid-osteoma-is-trauma-a-possible-etiologic-factor
#3
Pirabu Sakthivel, Rijendra Yogal, Kapil Sikka, Alok Thakar, Madhu Rajeshwari
A 19 year old female presented with painful postaural swelling of three years duration with preceding history of trauma. Clinically and radilogically the diagnosis of mastoid osteoma was made. As patient was symptomatic the osteoma was removed and cortical mastoidectomy was done. We emphasise that symptomatic mastoid osteomas must be treated early even if they are small in size to prevent the development of giant osteomas. The case is reported for its rarity with relevant review of literature. To the best of our knowledge this is the first case report in which there is a definitive history of trauma preceding the development of osteoma suggesting its possible role as an inciting factor...
July 2017: JNMA; Journal of the Nepal Medical Association
https://www.readbyqxmd.com/read/29255321/prevalence-of-oral-mucosal-lesions-in-a-tertiary-care-dental-hospital-of-kathmandu
#4
Dipshikha Bajracharya, Sujaya Gupta, Bidhata Ojha, Radha Baral
INTRODUCTION: Oral mucosa can be affected by a variety of soft tissue lesions and conditions. Benign as well as malignant lesions of oral cavity are common. Squamous cell carcinoma is one of the commonest malignancies. The present retrospective study was undertaken to study the prevalence of various oral mucosal lesions in a tertiary care dental hospital of Kathmandu. METHODS: This retrospective study was carried out in the Department of Oral and Maxillofacial Pathology at Kantipur Dental College and Teaching hospital from January 2015 to January 2017...
July 2017: JNMA; Journal of the Nepal Medical Association
https://www.readbyqxmd.com/read/29255320/outcome-of-needle-fenestration-subacromial-steroid-and-diclofenac-phonophoresis-in-acute-calcific-tendinitis-of-shoulder
#5
Rajendra Sanjel Chhetri, Kishor Prashad Khatri, Jagadish Khanal, Milan Kc
INTRODUCTION: Acute calcific tendinitis of shoulder is very painful and disturbing condition. There are many modalities with variable outcome to address the condition. We studied needling technique with multiple fenestration, subacromial steroid and diclofenac phonophoresis and evaluated the outcome in term of pain relief and improvement of shoulder function at a simple outpatient clinical set up without image or ultrasound guidance. METHODS: We studied cases of acute calcific tendinitis presenting within one week from onset of symptoms and X-ray showing calcific deposit...
July 2017: JNMA; Journal of the Nepal Medical Association
https://www.readbyqxmd.com/read/29255319/pattern-of-body-mass-index-and-common-health-problems-in-women-of-reproductive-age-group-in-a-private-clinic-in-kathmandu
#6
Saraswati M Padhye
INTRODUCTION: High Body Mass Index is one of the risk factors for many chronic diseases and adverse health outcomes. It is associated with an increased risk of coronary heart disease, ischemic stroke, high blood pressure and type 2 diabetes mellitus. It also have many adverse effect on reproductive health of the women like sub fertility, polycystic ovarian disease, menstrual abnormality etc. The purpose of this study is to find Basal Metabolic Rate and the diseases pattern of reproductive age woman in Nepal...
July 2017: JNMA; Journal of the Nepal Medical Association
https://www.readbyqxmd.com/read/29255318/knowledge-and-practice-of-hemodialysis-amongst-dialysis-nurses
#7
Dhiraj Narayan Manandhar, Pramod Kumar Chhetri, Prakash Poudel, Samir Keshari Baidya, Krishna Kumar Agrawaal
INTRODUCTION: Dialysis nurses should have a good knowledge regarding hemodialysis treatment. The status of Nepalese dialysis nurses on this aspect is unknown. This study was done to assess the knowledge and practice on different aspects of the hemodialysis treatment. METHODS: We distributed validated questionnaires to the participants in a biannual conference in Kathmandu on 24th September as most of the dialysis nurses attend the event. We calculated mean and standard deviation for continuous variables and frequencies and percentage for the responses and compared counseling with different parameters...
July 2017: JNMA; Journal of the Nepal Medical Association
https://www.readbyqxmd.com/read/29255317/evaluation-of-dental-caries-among-preschool-children-in-kathmandu-using-significant-caries-index
#8
Senchhema Limbu, Parajeeta Dikshit, Tarakant Bhagat
INTRODUCTION: Dental caries among preschool children is common but there is scarcity of updated data about its prevalence among Nepalese preschool children. This study was conducted to evaluate prevalence, Significant Caries Index, Caries pattern, Restorative care index and Disparity ratio among preschool children of Kathmandu aged 3-6 years. METHODS: A cross sectional study was conducted on 17 preschools of Kathmandu following WHO criteria. Data were analysed using SPSS 20 and descriptive statistics was applied...
July 2017: JNMA; Journal of the Nepal Medical Association
https://www.readbyqxmd.com/read/29255316/clinical-profile-of-atrial-fibrillation-in-a-tertiary-hospital-in-central-nepal
#9
Sachin Dhungel, Shankar Laudari
INTRODUCTION: Atrial fibrillation is a common cardiac arrhythmia in elderly causing morbidity and mortality. METHODS: A cross-sectional descriptive study was conducted in College of Medical Sciences Teaching Hospital from August 2013 to July 2016. All in-patients diagnosed with atrial fibrillation were included. RESULTS: Total 205 patients were studied. There were 154 (75.1%) nonvalvular and 51 (24.9%) valvular causes for atrial fibrillation...
July 2017: JNMA; Journal of the Nepal Medical Association
https://www.readbyqxmd.com/read/29255315/patterns-of-injury-and-mortality-in-pediatric-patients-attending-emergency-department-in-a-tertiary-care-center-in-eastern-nepal
#10
Pramendra Prasad Gupta, Gyanendra Bahadur Malla, Rabin Bhandari, Rosan Prasad Shah Kalawar, Madan Mandal
INTRODUCTION: Trauma is a major and increasing global health concern in the recent world. It is now the leading cause of death among people less than 18 years old. The aim of this study is to analyze all injuries from trauma-related causes among children and adolescents under 18 years old of age. METHODS: This is a retrospective cross sectional study done in Emergency Department of B.P. Koirala Institute of Health Sciences. Patients aged less than 16 years were included with history of trauma from January 1st 2013 to 31st December 2013...
July 2017: JNMA; Journal of the Nepal Medical Association
https://www.readbyqxmd.com/read/29255314/gestational-age-specific-postnatal-growth-curves-for-singleton-babies-in-a-tertiary-hospital-of-western-nepal
#11
Santosh Pathak, Nagendra Chaudhary, Prativa Dhakal, Shyam Kumar Mahato, Sandeep Shrestha, Bal Dev Bhatia, Ajay Kumar Bansal, Om Prakash Kurmi, Kailash Nath Agarwal
INTRODUCTION: Measurement of birth weight, crown-heel length, head circumference and chest circumference used to assess the intrauterine growth of a baby vary with altitude, race, gender, socioeconomic status, maternal size, and maternal diseases. The study aimed to construct centile charts for birth weight, crown-heel length and head circumference for new born at different gestational ages in Western Nepal. METHODS: This was a descriptive cross-sectional study done over a period of 15 months in a tertiary care hospital of Western Nepal...
July 2017: JNMA; Journal of the Nepal Medical Association
https://www.readbyqxmd.com/read/29255313/clinicohematological-study-of-pancytopenia-in-a-tertiary-care-hospital-of-western-region-of-nepal
#12
Dilasma Ghartimagar, Arnab Ghosh, Sushma Thapa, Deepa Sapkota, Adarsh Kumar Jhunjhunwala, Raghavan Narasimhan, O P Talwar
INTRODUCTION: Pancytopenia is a relatively common hematological entity and is a manifestation of many illnesses which can be life threatening at times. The severity of pancytopenia and the underlying pathology determine the management and prognosis. This study was conducted to evaluate hematological and bone marrow findings in patients presenting with pancytopenia. METHODS: A prospective observational study was conducted in Department of Pathology, Manipal College of Medical Sciences, Pokhara from January 2011 to December 2016...
July 2017: JNMA; Journal of the Nepal Medical Association
https://www.readbyqxmd.com/read/29255312/prediction-of-difficult-airway-among-patients-requiring-endotracheal-intubation-in-a-tertiary-care-hospital-in-eastern-nepal
#13
Sindhu Khatiwada, Balkrishna Bhattarai, Krishna Pokharel, Roshan Acharya
INTRODUCTION: Various screening tests are done for predicting difficult laryngoscopy with variable diagnostic accuracy. Difficult laryngoscopy is being considered a surrogate indicator of difficult intubation, though it is not the exact measure of intubation difficulty. Our objectives were to find out the better predictor of difficult laryngoscopy amongst the routinely used tests and also to find the ability of difficult laryngoscopy to predict difficult intubation. METHODS: This prospective, observational study involved 314, ASA I/II adult patients requiring endotracheal intubation...
July 2017: JNMA; Journal of the Nepal Medical Association
https://www.readbyqxmd.com/read/29255311/gestational-weight-gain-and-its-relation-with-birth-weight-of-the-newborn
#14
Meena Thapa, Rupa Paneru
INTRODUCTION: Gestational weight gain is an important predictor of the health of the newborn. It is affected by body mass index of the women. This study was conducted to find out gestational weight gain according to Institute of Medicine 2009 recommendation and relationship of newborn birth weight to body mass index and gestational weight gain of the women. METHODS: It was cross sectional, hospital based study. The women, who attended at term pregnancy for delivery and having recorded first trimester body weight, were included in the study...
July 2017: JNMA; Journal of the Nepal Medical Association
https://www.readbyqxmd.com/read/29255310/incidence-and-outcome-of-ventilator-associated-pneumonia-in-icu-of-a-tertiary-care-hospital-in-nepal
#15
Deebya Raj Mishra, Niharika Shah, Dibya Singh Shah
INTRODUCTION: Ventilator associated pneumonia is an important intensive care unit acquired infection in mechanically ventilated patients. Early and correct diagnosis of Ventilator associated pneumonia is difficult but is an urgent challenge for an optimal antibiotic treatment. METHODS: A prospective observational study was conducted in Intensive Care Unit of a tertiary care hospital in Nepal. Consecutive patients were considered during the study period, who met the criteria were included for the study...
July 2017: JNMA; Journal of the Nepal Medical Association
https://www.readbyqxmd.com/read/29255309/non-invasive-predictors-of-gastro-oesophageal-varices
#16
Subash Bhattarai, Khus Raj Dewan, Gaurav Shrestha, Bhanumati Saikia Patowary
INTRODUCTION: The worldwide accepted tool for screening and monitoring gastro-oesophageal varices in patients with liver cirrhosis is upper gastrointestinal endoscopy. Endoscopy needs clinical expertise and has got its own procedure related complications. Repeated endoscopies may be expensive and patients tend to develop poor compliance. This study was undertaken to establish the role of noninvasive parameters in predicting gastro-esophageal varices. METHODS: Two hundred patients with clinical features, laboratory and sonological findings suggestive of cirrhosis of liver and endoscopic evidence of portal hypertension were included in the study...
July 2017: JNMA; Journal of the Nepal Medical Association
https://www.readbyqxmd.com/read/29255308/prevalence-of-alcohol-consumption-and-knowledge-about-alcohol-at-bhimtar-sindhupalchowk
#17
Naresh Manandhar, Marina Vaidya Shrestha, Sunil Kumar Joshi
INTRODUCTION: Alcohol causes several health problems, economic and social consequences across the world. Nepal is a multicultural and multi-ethnic country with an ambivalent regarding alcohol use according to social, religious and cultural values. Alcohol use is very common and easily available everywhere in Nepal. Objective of study is to find the prevalence of alcohol consumption and knowledge of alcohol among people at Bhimtar. METHODS: A cross sectional study was conducted on a total of 369 households, age above 20 years of Bhimtar, Sindhupalchowk district on November 2016...
July 2017: JNMA; Journal of the Nepal Medical Association
https://www.readbyqxmd.com/read/28746332/proceeding-report-of-joint-meeting-of-nepalese-association-for-the-studies-of-the-liver-and-nepalese-society-of-gastroenterologists-on-overcoming-the-challenges-for-hepatitis-c-virus-elimination-in-nepal-by-2030
#18
(no author information available yet)
No abstract text is available yet for this article.
April 2017: JNMA; Journal of the Nepal Medical Association
https://www.readbyqxmd.com/read/28746331/need-of-the-ministry-of-health-in-federal-democratic-republic-of-nepal
#19
K Regmi, M Upadhyay, E Tarin, P B Chand, S R Uprety, S C Lekhak
The constitution of Nepal provides appointing a council of ministers both at federal and provincial levels without defining portfolios. There is a political agreement that MOH will be retained at the federal level. This article draws evidences around the world to meet health needs of Nepalese, the role of provincial ministry of health and coordinating structure at district/local level. The constitution emphasises on health and pronounced in 46 articles which provides guidance for the creation of federalized governance levels at federal, provincial and local levels...
April 2017: JNMA; Journal of the Nepal Medical Association
https://www.readbyqxmd.com/read/28746330/updates-on-pharmacological-treatment-of-post-traumatic-stress-disorder
#20
R Koirala, E G I Søegaard, S B Thapa
Post-Traumatic Stress Disorder affects a significant proportion of those who have been exposed to exceptionally threatening or catastrophic events or situations such as earthquakes, rape and civil war. The condition can often become chronic and disabling. Medical intervention can therefore be of paramount importance. There are no national guidelines for trauma disorders in Nepal and there is a lack of adequate knowledge regarding drug treatment of PTSD among doctors and other service providers. Though psychotherapy is internationally regarded as the first line treatment for PTSD, it is often not feasible in Nepal due to lack of resources and skilled health workers in this field...
April 2017: JNMA; Journal of the Nepal Medical Association
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