Journal of Nepal Health Research Council
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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.
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J Nepal Health Res Counc · Jan 2014
Case ReportsSuccessful intubation with McCoy laryngoscope in a patient with ankylosing spondylitis.
Involvement of cervical spine in ankylosing spondylitis limits neck movement resulting in difficult intubation. We report a case of 45-yr-old lady of ankylosing spondylitis with restricted neck movement planned for emergency laparotomy. ⋯ At second attempt with McCoy blade, the posterior commissure of the vocal cord could be visualized and intubation was successful. Thus, in absence of flexible laryngoscopes and when awake intubation is not feasible, McCoy blade should be considered an alternative than Macintosh blade to attempt intubation in patients of ankylosing spondylitis with restricted neck movement.
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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.