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Journal of Nepal Health Research Council

Beuy Joob, Viroj Wiwanitkit
January 1, 2018: Journal of Nepal Health Research Council
Randhir Sagar Yadav, Shumneva Shrestha, Santosh Sharma, Meeta Singh, Kesang Diki Bista, Neebha Ojha
Gestational trophoblastic neoplasia is extremely rare entity accounting 1% of all gynecological malignancies. Invasive mole is a form of Gestational trophoblastic neoplasia which is locally invasive with propensity of metastasis. Association of partial mole with invasive mole and/or theca lutein cysts is a rare occurrence. Large cysts may present with complications. A case with these rare combinations presented at 15+3 weeks period of gestation as acute abdomen due to torsion of bilateral theca lutein cysts is reported...
January 1, 2018: Journal of Nepal Health Research Council
Shreya Shrivastav, Ram Chandra Adhikari
Tungiasis is a common parasitic infection inmany parts of the world, including South and Central America and parts of Africa. It is rare in other places, such as in India and Pakistan and imported cases have been reported in Taiwan, Italy, the United States of America, etc. Our diagnosis was made based on histopathologiocal features of the parasite, which corresponds too ther reports and description of tungiasis.1-3 It was treated by surgical excision alone. The fact that the disease has never been reported in Nepal makes it difficult to diagnose clinically, but should be considered in the future...
January 1, 2018: Journal of Nepal Health Research Council
Nesuma Sedhain, Ganesh Dangal, Aruna Karki, Hema K Pradhan, Ranjana Shrestha, Kabin Bhattachan, Rekha Poudel, Nishma Bajracharya
Endometriosis is a common benign gynecologic disorder defined as the presence of endometrial glands and stroma outside of the normal location. The overall prevalence is 8-15% in women of reproductive age group. Scar endometriosis is a rare disease, and is difficult to diagnose. It is commonly seen following obstetrical and gynecological surgeries. The symptoms are non-specific, typically involving abdominal wall pain at the incision site at the time of menstruation and palpable tender mass in the incision site...
January 1, 2018: Journal of Nepal Health Research Council
Badri Man Shrestha
The specialty general surgical examination in the United Kingdom, which needs to be qualified by the higher surgical trainees towards the end of their training prior to assuming consultant responsibility, includes "academic foundation viva" as a mandatory component. This section of examination is intended to assess candidate's ability to critically appraise published literature with regards to its validity and clinical relevance, which is essential requirement for a surgeon to be able to deliver care to his patients based on robust evidence collected from properly conducted studies...
January 1, 2018: Journal of Nepal Health Research Council
Battu Kumar Shrestha, Apurb Sharma, Parbesh Kumar Gyawali
BACKGROUND: Common airway management strategies during cardiopulmonary resuscitation are bag- mask-valve ventilation followed by endotracheal intubation. Timing of endotracheal intubation is controversial. This study was designed to compare the effect of early vs late endotracheal intubation in terms of return of spontaneous circulation. METHODS: This is an observational retrospective study done at tertiary center for the period of two years. The study population was inpatient, adult and pediatric with witnessed cardiac arrest in whom airway management was initially done with bag-valve-mask ventilation followed by endotracheal intubation...
January 1, 2018: Journal of Nepal Health Research Council
Gajal Lakhe, Surendra Mohan Sharma
BACKGROUND: The use of nitrous oxide and carboperitoneum in laparoscopic cholecystectomy lead to increase in endotracheal tube cuff pressure. It may impair tracheal mucosal perfusion with subsequent tracheal damage. The purpose of this study was to evaluate cuff pressure and incidence of post-operative sore throat in patients undergoing laparoscopic cholecystectomy. METHODS: In this prospective observational study, 128 patients aged 18-65 years of American Society of Anesthesiologist physical status I and II undergoing laparoscopic cholecystectomy were enrolled and allocated alternately into two groups, Study Group (Maintenance of anesthesia with sevoflurane 1-2%, oxygen/nitrous oxide mixture; 40/60), Control Group (Maintenance of anesthesia with sevoflurane 1-2%, oxygen/air mixture; 40/60) were analysed and comapared...
January 1, 2018: Journal of Nepal Health Research Council
Rakesh Kumar Shah, Nayan Kamal Sainju, Sunil Kumar Joshi
BACKGROUND: Kangaroo mother care is an effective and low cost technique which prevents neonate from hypothermia, a leading cause of preventable neonatal mortality. Knowledge and practice of Kangaroo mother care is of utmost importance in developing countries such as Nepal. Purpose of this study was to find out knowledge, attitude and practice of kangaroo mother care among health workers in tertiary health centres in Nepal. METHODS: This cross sectional study was carried out in three teaching hospitals in Nepal during the period from January 2016 to April 2016...
January 1, 2018: Journal of Nepal Health Research Council
Poojan Shrestha, Mila Shakya, Maxine Caws, Surendra Shrestha, Bibek Karki, Shreejana Shrestha, Dan Bahadur Karki, Bhagwan Maharjan, Bhawana Shrestha, Amit Arjyal, Abhilasha Karkey, Krishna G Prajapati, Buddha Basnyat
BACKGROUND: There is a high risk of occupational exposure to tuberculosis among healthcare workers in endemic countries. Regular screening for tuberculosis among healthcare workers is not carried out in Nepal. Infection control measures are also not routinely implemented. The aim of this study was to determine the prevalence of active tuberculosis among staff/students at Patan Hospital. METHODS: Participants were given a self-administered questionnaire and invited to undergo chest radiography...
January 1, 2018: Journal of Nepal Health Research Council
Dilip Sharma, Sudhamshu Kc, Bikash Jaisi
BACKGROUND: Studies have shown that patients with liver cirrhosis are more susceptible to tuberculosis because of immune dysfunction; however there are only limited data. We carried out this study to know the prevalence and clinical characteristics of tuberculosis in patients with liver cirrhosis. METHODS: In this retrospective study, medical files of 200 consecutive patients admitted with diagnosis of liver cirrhosis in the medical ward of liver unit, Bir Hospital from January 2011 to December 2014 were evaluated for the presence of TB and clinical characteristics of these patients were analyzed...
January 1, 2018: Journal of Nepal Health Research Council
Rachana Sharma, Subhash Chandra Sharma, Sudarshan Narsingh Pradhan
BACKGROUND: Schizophrenia and bipolar affective disorder are chronic psychiatric illness that requires long term care. This study tends to measure psychological burden and factors associated with it among caregivers of these two illnesses. METHODS: This is a cross- sectional study that included participants by purposive sampling method. Self designed performa was used to collect the socio-demographic details of the caregivers. Modified caregiver strain index was used to assess the overall stress...
January 1, 2018: Journal of Nepal Health Research Council
Lochana Shrestha, Shambhu Nath Pant
BACKGROUND: Students enter the medical study with different types of motives. Given the importance of academic motivation for good academic achievement of the students, the present study was designed to reveal the possible relationship between academic motivation and achievement in medical students. METHODS: In this cross-sectional study medical students (N=364) of Nepalese Army institute of Health Sciences were participated and classified to different subgroups using intrinsic and controlled motivation scores...
January 1, 2018: Journal of Nepal Health Research Council
Dipshikha Bajracharya, Sujaya Gupta, Manish Sapkota, Shishir Bhatta
BACKGROUND: Lack of knowledge and awareness about oral cancer, its risk factors and negligence of the early warning signs play crucial role in raising the incidence of the disease. The present study was carried out to evaluate the awareness of oral cancer among patients visiting Kantipur Dental College, Kathmandu, Nepal. METHODS: The cross-sectional study was done in 471 patients from 15-85 years. Self administered questionnaire was prepared which comprised of knowledge of oral cancer, source of information, its early signs and symptoms along with the awareness of its risk factors...
January 1, 2018: Journal of Nepal Health Research Council
Basanta Maharjan
BACKGROUND: Hypertension is a modifiable risk factor for cardiovascular diseases. Various studies conducted in the world showed high prevalence of hypertension, which is in increasing trend in Nepal also. The aim of this study was to assess hypertension status and risk behaviours among adult population in Kirtipur Municipality. METHODS: A cross sectional descriptive study was conducted among 580 adults of age 20 - 59 from December 2015 to April 2016. Data was collected by observation method to determine hypertension prevalence and Body Mass Index...
January 1, 2018: Journal of Nepal Health Research Council
Manisha Pandey, Tulsi Ram Bhandari, Ganesh Dangal
BACKGROUND: Workplace violence among nurses is prevalent worldwide. If nurses become aware of the workplace violence and its risk factors then only they can protect themselves. This study assessed the prevalence of workplace violence and its associated factors among nurses in Pokhara, Nepal. METHODS: A hospital-based descriptive cross-sectional study was conducted in Pokhara. The required sample size of the study was 200 nurses. We adopted self-administered questionnaire developed by International Labor Office, International Council of Nurses, World Health Organization (WHO), and Public Services International...
January 1, 2018: Journal of Nepal Health Research Council
Pratima Pathak, Shovana Shrestha, Rashmi Devkota, Basanta Thapa
BACKGROUND: Assessment of utilization of institutional delivery services is crucial to reduce risk of maternal mortality and morbidity in countries like Nepal. This study was conducted to find out the proportion of utilization of institutional delivery service and associated factors among mothers. METHODS: Data was collected from the total of 129 mothers of Kathar VDC, Chitwan district who delivered baby within last one year proceeding the period of data collection using census method...
January 1, 2018: Journal of Nepal Health Research Council
Leison Maharjan, Aarzoo Shah, Udaya Bajracharya, Gambhir Shrestha
BACKGROUND: Multiple organ failure is recognized as the final pathway preceding majority of deaths in intensive care unit. This study aims to find out the prevalence of organ dysfunctions/ failures in patients at the time of their demise irrespective of the underlying diseases in a tertiary care hospital. METHODS: This study was done in medical intensive care unit of Blue Cross Hospital. Medical records of all deceased patients in two years period were thoroughly reviewed retrospectively...
January 1, 2018: Journal of Nepal Health Research Council
Om Biju Panta, Yagya Raj Pathak, Dan Bahadur Karki
BACKGROUND: Magnetic Resonance Imaging is the imaging modality of choice for imaging spinal infection due to its high sensitivity and specificity. This study aims to study the magnetic resonance imaging changes in patients with spondylodiscitis. METHODS: The study was a retrospective study carried in a multimodality imaging centre in Kathmandu. Magnetic resonance imaging records and clinical record of 3 years duration were reviewed and patients with clinical and radiological diagnosis of spondylodiscitis were included in the study...
January 1, 2018: Journal of Nepal Health Research Council
Ram Naresh Yadav, Shrijana Joshi, Rajesh Poudel, Pawan Pandeya
BACKGROUND: Menstrual hygiene management remains a taboo in many communities in Nepal. Cultural beliefs about menstruation such as food taboos and untouchability have negative impact on dignity, health and education of adolescent girls. The objective of the study was to assess the current knowledge, attitude and practice of school adolescents on menstrual hygiene management in Doti District in Far-Western Nepal. METHODS: This cross-sectional study was carried out from October to December 2016 at seven village development committees in Doti district, Nepal...
January 1, 2018: Journal of Nepal Health Research Council
Vineet Mishra, Priyankar Roy, Khushali Gandhi, Sumesh Choudhary, Rohina Aggarwal, Shaheen Sokabaj
BACKGROUND: Iron deficiency is the commonest treatable cause of postpartum anaemia. Parenteral iron therapy results in faster and higher replenishment of iron stores and correction of haemoglobin levels with better compliance. Ferric Carboxy Maltose is an effective and a safe option which can be administered intravenously in single total correction dose without any serious adverse effects.The study was done to evaluate the efficacy and safety of Ferric Carboxy Maltose in the treatment of iron deficiency anaemia in post-natal patients...
January 1, 2018: Journal of Nepal Health Research Council
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