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Journal of Nepal Health Research Council

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https://www.readbyqxmd.com/read/29016595/reporting-of-medical-errors-in-autopsied-cases
#1
Bikash Sah, B N Yadav, Shivendra Jha, Ashok Ayer, Ajay Kumar Yadav
This report describes the cases autopsied at B. P. Koirala Institute of Health Sciences- Nepal, during the period of two years in which the treatment provided falls below the accepted standard practice causing the death of the patient. Postmortem examination provides an opportunity to find out the actual cause of death in which the cause of death is suspicious. Sometimes the cause of death found through postmortem examination is different from the clinical cause of death. The autopsy finding on the cause of death will help doctors even to think about unusual conditions that lead to death and hence apply preventive measures for those unusual conditions...
September 8, 2017: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/29016594/application-of-ultraviolet-light-in-dental-identification-of-avalanche-victims
#2
Nitin Kumar Agrawal, Samarika Dahal, Harihar Wasti, Alistair Soon
In any disaster, it becomes important to identify the deceased for ethical, social and legal causes.Out of the numerous methods of identification, dental comparison is considered to be one of the scientific methods in a Disaster Victim Identification process. The two victims of avalanche in Nepal were identified using dental comparison. The two bodies brought for examination were unidentifiable visually. To aid identification of tooth coloured restorations, ultraviolet light was used. The ultraviolet light made the tooth coloured restorations appear distinct from the adjacent tooth structure in one of the cases...
September 8, 2017: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/29016593/dentists-in-nepal-a-situation-analysis
#3
Rabindra Man Shrestha, Sujita Shrestha Shrestha, Nischal Kunwar
BACKGROUND: Human resource data is essential for planning and implementation of health care delivery system. However, very few information is available on dental health human resource in the country. The aim of study was to assess the number of dentists in the country and to explore their distribution according to demographic and professional characteristics. METHODS: A census was performed during July 2015 to July 2016 about the Nepali dentists. The study assessed demographic and professional characteristics of dentists including age, gender, ethnicity, education attainment, university, country/year of graduation, and work place using data collection sheet by trained data collectors...
September 8, 2017: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/29016592/availability-of-life-support-equipment-and-its-utilization-by-ambulance-drivers
#4
Rija Acharya, Angur Badhu, Tara Shah, Sharmila Shrestha
BACKGROUND: An effective ambulance is a vital requirement for providing an emergency medical service. Well-equipped ambulances with trained paramedics can save many lives during the golden hours of trauma care. The objective was to document the availability and utilization of basic life support equipment in the ambulances and to assess knowledge on first aid among the drivers. METHODS: Descriptive design was used. Total of 109 ambulances linked to B.P. Koirala Institute of Health Sciences were enrolled using purposive sampling method...
September 8, 2017: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/29016591/caesarean-section-during-second-stage-of-labor-in-a-tertiary-centre
#5
Padma Gurung, Sameer Malla, Sushma Lama, Anagha Malla, Alka Singh
BACKGROUND: There is an alarming rise in caesarean section leading to increased adverse outcomes for both the mother and fetus when compared with vaginal delivery. Within this increasing caesarean section rate, there is a concerning increase in the rate of second stage caesarean section. This study highlight the feto-maternal outcome of caesarean section in second stage of labour. METHODS: This was a retrospective cohort review of all women with a singleton, cephalic fetus at term delivered by caesarean section in the second stage of labor between April 1, 2013 and March 30, 2017 at Patan Academy of Health Sciences...
September 8, 2017: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/29016590/endoscopic-endonasal-transsphenoidal-approach-to-pituitary-adenoma-a-multi-disciplinary-approach
#6
Deepak Regmi, Amit Thapa, Bidur Kc, Bikram Shakya
BACKGROUND: The excellent visualization and minimally invasive approach employed in endoscopic endonasal procedures has now revolutionized the pituitary surgery, replacing the transnasal microscopic technique worldwide. However, it involves major shift in hand-eye co-ordination from static 3 dimensional images of microscope to 2 dimensional endoscopic images hence demands training and inter-disciplinary approach. Here we present our experiences in learning and developing a safe endonasal transsphenoidal endoscopic approach to resect pituitary adenomas...
September 8, 2017: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/29016589/risk-factors-associated-with-low-birth-weight-among-deliveries-at-bharatpur-hospital
#7
Kamal Prasad Kandel, Sindhu Kafle
BACKGROUND: Babies with a birth weight of less than 2500 grams, irrespective of the period of their gestation are termed as Low Birth Weight (LBW) babies. Despite consistent efforts to improve the quality of maternal and child health, more than twenty million low birth-weight (LBW) babies are born every year throughout the world. Though, the health situation of Nepal has improved substantially over the years, the low birth-weight (LBW) rate is still high. The objective of this study was to assess the proportion of low birth weight and identify the associated factors for low birth weight in a live born infant among the institutionally delivered newborns...
September 8, 2017: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/29016588/mesiodens-a-hospital-based-study
#8
Senchhema Limbu, Parajeeta Dikshit, Sujaya Gupta
 Background: A mesiodens, is the most frequent supernumerary tooth present in the maxillary central incisor region. This study is conducted to know the radiographic characteristics and management of mesiodens in children visiting hospital. METHODS: A cross-sectional retrospective data collection was done from hospital dental records of children who visited the institution from December 2015-December 2016. Radiographic characteristic of mesiodens including the number, shape, position, direction of crown and complication caused by mesiodens were recorded...
September 8, 2017: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/29016587/bogota-bag-in-abdominal-compartment-syndrome-at-kathmandu-model-hospital
#9
Bijendra Dhoj Joshi, Udaya Koirala, Amit M Upadhyaya, Arbin Joshi, Saroj Dhital
BACKGROUND: The gold standard of quick and definitive treatment of Abdominal compartment syndrome (ACS) is surgical decompression by opening the abdomen and leaving it open until intra-abdominal pressure decreases. Temporary abdominal closure techniques are used to postpone definite closure until predisposing factors causing pathologic elevation of intra-abdominal pressure are resolved.This study aim to analyze feasibility of Bogota Bag placement as a way of temporary abdominal closure...
September 8, 2017: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/29016586/preference-of-food-items-and-physical-activity-of-peri-urban-children-in-bhaktapur
#10
Abhinav Vaidya, Natalia Oli, Alexandra Krettek, Gabriele Eiben
BACKGROUND: Though cardiovascular diseases are mostly seen in adulthood, the foundation of diet and physical activity is largely formed during childhood. The study aimed to explore children's preference for diet and physical activity in a peri-urban area of Nepal because this is an important dimension to explore in the life-course approach to combat non-communicable diseases. METHODS: We conducted a cross-sectional study to enquire young peri-urban children of Duwakot and Jhaukhel villages of Bhaktapur district, Nepal on their preferences for diet and physical activity...
September 8, 2017: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/29016585/isolation-of-multidrug-resistant-bacteria-from-patients-medical-charts
#11
Roshan Thapa, Narayan Dutt Pant, Uday Narayan Yadav, Eliza Thapa, Anjana Singh, Bharat Mani Pokhrel, Upendra Devkota
BACKGROUND: Patient's medical charts in hospitals are potentially contaminated by pathogenic bacteria and might act as vehicles for transmission of bacterial infections.This study was aimed to determine the rate of contamination of medical charts by multidrug resistant bacteria. METHODS: Sampling of total 250 patient's medical charts from different wards was done with the help of cotton swabs soaked in sterile normal saline. The swabs thus collected were cultured using standard microbiological procedures...
September 8, 2017: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/29016584/morbidities-and-outcome-of-a-neonatal-intensive-care-in-western-nepal
#12
Sudhir Adhikari, Kalipatanam Seshagiri Rao, Ganesh B K, Namraj Bahadur
BACKGROUND: Neonatal mortality rate of developing countries is declining over decades. In the recent years increasing number of preterm and high risk neonates have facilities for tertiary care treatment. The aim of the study was to assess the morbidities and outcome of neonatal intensive care admissions. METHODS: It was a retrospective observational study carried out in neonatal intensive care unit of the Manipal Teaching Hospital, Pokhara, Nepal from January 2014 to December 2015...
September 8, 2017: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/29016583/transabdominal-pre-peritoneal-mesh-repair-versus-lichtenstein-s-hernioplasty
#13
Rajan Koju, Ram Bhakta Koju, Balaram Malla, Yashad Dongol, Lok Bikram Thapa
BACKGROUND: In the era of minimal invasive surgery, hernia repair has seen a paradigm shift from open to laparoscopic technique. However, superiority of laparoscopic repair over open repair is still controversial. Available literatures have shown laparoscopic technique to be better in term of post-operative pain and early return to work. METHODS: In this prospective study, a total of 102 patients aged 21-78 years with inguinal hernia were recruited and enrolled into two comparative groups, namely Lichtenstein's and Transabdominal pre-peritoneal, and each group containing 51 participants...
September 8, 2017: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/29016582/safety-and-efficacy-of-percutaneous-nephrolithotomy-in-children
#14
Udaya Man Singh Dongol, Yugal Limbu
BACKGROUND: Renal stone disease is a common problem in children in developing countries. Its prevalence in children varies from 5% to 15%. It is suggested that anatomic abnormalities, recurrent urinary tract infections, metabolic disturbances, dietary and environmental factors are the predisposing factors.The aim of this study is to evaluate the safety and efficacy of percutaneous nephrolithotomy in children. METHODS: Between May 2012 and Dec 2016, 25 children with renal stone diseases underwent percutaneous nephrolithotomy and were evaluated for stone free rate, complications, blood transfusion rate, sandwich therapy, etc...
September 8, 2017: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/29016581/bacteriological-study-of-otitis-media-and-its-antibiotic-susceptibility-pattern
#15
Rabina Basnet, Sudarshan Sharma, Jid Chani Rana, Pradeep Kumar Shah
BACKGROUND: Otitis Media is a prevailing and notorious infection in developing countries causing serious local damage and threating complication. Mainly in developing countries like Nepal, Otitis Media results because of illiteracy, poverty and poor hygiene. The aim of this study was to determine the profile of Otitis Media, its causative agents and their antibiotic susceptibility pattern. METHODS: The study included 263 pus samples from 240 patients attending ENT department of Bharatpur hospital from May 2015 to January 2016...
September 8, 2017: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/29016580/surgical-site-infections-and-antimicrobial-resistance-pattern
#16
Raskin Chaudhary, Shrawan Kumar Thapa, Jid Chani Rana, Pradeep Kumar Shah
BACKGROUND: Post-operative surgical site infections (SSIs) are among the leading cause of morbidity and increased medical expense. The aim of this study is to isolate identify and study antimicrobial susceptibility pattern of microorganism from surgical wound of admitted patients. METHODS: This retrospective study was carried at the Microbiology Laboratory of Bharatpur hospital, Nepal, from May 2015 to October 2015. The pus samples were cultured and antibiotic susceptibility determined in vitro by Kirby Bauer's disc diffusion method following clinical and Laboratory Standards Institute (CLSI) 2014 recommendation...
September 8, 2017: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/29016579/iodine-and-thyroid-function-status-and-anti-thyroid-peroxidase-antibody-among-pregnant-women-in-eastern-nepal
#17
Lalit Narayan Chaudhary, Saroj Khatiwada, Basanta Gelal, Sharad Gautam, Madhab Lamsal, Hanoon Pokharel, Nirmal Baral
BACKGROUND: Iodine deficiency, thyroid dysfunction and development of thyroid autoimmunity during pregnancy may affect mother and the developing fetus. This study was carried out to find iodine status, thyroid dysfunction and thyroid autoimmunity among pregnant women. METHODS: Ninety two pregnant women from three districts of eastern Nepal (Sunsari, Morang and Jhapa) were enrolled for the study, and urine and blood samples were collected. Urinary iodine concentration (UIC), free thyroxine (free T4), thyroid stimulating hormone (TSH), thyroglobulin and anti-thyroid peroxidase (TPO) antibody levels were estimated...
September 8, 2017: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/29016578/profile-of-caesarean-section-at-kathmandu-medical-college
#18
Apurwa Prasad, Garima Bhandari, Rachana Saha
BACKGROUND: There is a world-wide rise in caesarean section rateduring the last three decades and has been a cause of alarm and needs an in-depth study. The objective of this study was to determine the rate and clinical indications of Caesarean Section. METHODS: A hospital based study was carried out from 15th June 2015 to 15th January 2016 in Department of Obstetrics and Gynecology at Kathmandu Medical College, Sinamangal, Nepal. Patients who delivered by caesarean section were included in the study...
September 8, 2017: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/29016577/can-a-leaflet-with-brief-verbal-instruction-teach-nepali-women-how-to-correctly-contract-their-pelvic-floor-muscles
#19
Delena-Mae Caagbay, Kirsten Black, Ganesh Dangal, Camille Raynes-Greenow
BACKGROUND: Pelvic organ prolapse is a common disorder for women in Nepal causing symptoms and reduced quality of life. Pelvic floor muscle exercise is a conservative treatment option for pelvic organ prolapse but the effective way to teach women in Nepal is not known. The objective of this pilot study was to determine if an illustrative leaflet with brief verbal instruction could teach Nepali women to correctly contract their pelvic floor muscles. METHODS: Fifteen parous women attending two outpatient gynecology clinics in Kathmandu Valley were interviewed to assess their knowledge of pelvic organ prolapse and pelvic floor muscles exercise...
September 8, 2017: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/29016576/quality-of-clinical-notes-lesson-learned-from-elective-surgery-patients-admitted-at-university-teaching-hospital
#20
Jay N Shah, Shantbir Maharjan, Shailendra Shah
BACKGROUND: Informative relevant documentation regarding course of treatment minimizes errors, provides data for evidence based practice and legality. However, the clinical notes are often inadequate. This study aims to analyse quality of structured clinical notes in surgical patients. METHODS: This cross sectional study from Oct 1, 2015 in department of surgery included 100 clinical notes randomly selected by lottery. The entries in notes were predefined. There were 29 general entries (nine for identification, eleven for admission details, eight for treatment progress, and one for handwriting)...
September 8, 2017: Journal of Nepal Health Research Council
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