Journal of Nepal Health Research Council
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J Nepal Health Res Counc · Sep 2014
Retrospective study on early outcome of acute burn injuries treated at Nepal Cleft and Burn Centre of Public Health Concern Trust-Nepal.
Nepal Cleft & Burn Center, Kirtipur Hospital, Kathmandu has been providing the acute burn care since 2013 with 10 ICU beds, 32 general beds and two operating rooms. This study analyses the demographics of and early outcome in the acute burn patients. ⋯ Treatment of acute burn is very challenging with high mortality rate. A lot of effort is needed to change the present standard of care. Awareness programs on First Aid treatment of burn injuries together with the preventive programs focused on high risk population such as females and children in a large scale needs to be organized as soon as possible.
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J Nepal Health Res Counc · Sep 2014
Profile of children with urinary tract infection and the utility of urine dipstick as a diagnostic tool.
Urinary tract infection is a common problem in children and its early diagnosis and treatment is important to prevent long-term complications. Urine dipstick can be an important tool in this respect. The aim of this study is to look at the utility of urine dipstick as a diagnostic tool for UTI and will also see the clinical profile of children with UTI and sensitivity pattern of antibiotics among the isolates of urine culture. ⋯ E. Coli is the commonest uropathogen in children with UTI. Amikacin is the most sensitive antibiotic against all the isolates. A positive dipstick both for nitrite and leucocyte esterase is associated with high sensitivity and specificity for urinary tract infection as compared to either of them positive alone. In addition, urine WBC ≥10/hpf is associated with high probability of UTI.
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J Nepal Health Res Counc · Sep 2014
Review Case ReportsSuccessfully managed case of celphos poisoning: a case report and review.
Aluminium phosphide poisoning is one of the major causes of suicidal deaths in developing countries like Nepal. It is one of the common fumigant available and is within easy access. It is primarily used for crop protection. ⋯ In this case, the patient had hyperglycaemia, atrial fibrillation, severe metabolic acidosis, and shock and yet survived. The key to her survival was aggressive supportive management. Therefore, knowing all the prognostic factors along with aggressive management can be life saving in conditions when no antidotes are available.
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J Nepal Health Res Counc · Sep 2014
Prevalent Causes of Low Back Pain and its Impact among Nurses Working in Sahid Gangalal National Heart Centre.
Nursing is considered as caring profession and nurse is a person who provides holistic care to the individual or community. Nurse's jobs vary from simple task to more complex one and are at risk of various occupational health problems. Among those, musculoskeletal problem including low back pain (LBP) is commonest one. Thus this study examines the prevalence and perceived causes of low back pain and its impact among the nurses working in national heart centre. ⋯ Three fourth of nurses working at national heart centre were suffering from low back pain which indicates high prevalence. Therefore it is recommended to maintain proper body mechanics and use supportive devices like back belts, knee cap, and chair with back rest during patient care.