Journal of Nepal Health Research Council
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J Nepal Health Res Counc · Jan 2013
Case ReportsInterstitial lung disease as initial manifestation of systemic lupus erythematosus.
Interstitial lung disease (ILD) is a group of disease characterized by fibrosis and scarring of the lung while Systemic Lupus Erythematosus is a multisystem disorder and both of these diseases are of unknown etiologies. Interstitial lung disease, as a presenting feature of SLE without any significant systemic involvement is a unique presentation and this case reports such example. ⋯ interstitial lung disease; systemic lupus erythematosus.
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There was an outbreak of diarrheal diseases in districts of far-western region of Nepal in late-2009 followed by massive outbreak in Jajarkot district of mid-western region in early-2009. The objective of this study was to explore the causative organism and analyse the sensitivity pattern of the antibiotics in the local context to suggest the use of medicine in future diarrhea outbreak in Nepal. ⋯ Cholera was found to be the most important cause for the occurrence of outbreak in far-western region in 2009. The commonly used antibiotics can be prescribed along with the appropriate rehydration measures.
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This article presents the foundations for building an emergency medicine training program, particularly in an environment with limited resources. It describes the history of the development of EM, what it is, how EM is practised in a typical hospital emergency department and who else is building EM training programs. The experience of establishing EM training in Papua New Guinea provides a model for development in other resource-limited environments. Strategies to establish training and to build the credibility and role of EM within the health system are described.