Tropical doctor
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Nepal is a mountainous country of 27 million people where the widespread lack of access to operative services is a major cause of morbidity and mortality. One critical reason for this is the lack of trained, appropriately distributed anaesthesia providers. We discuss the evolution of the 'anaesthesia assistant' in Nepal, review the international literature concerning the development of non-doctor anaesthetists, and invite links with others working in this field.
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We studied 52 cases of neurocysticercosis from January 1991 to December 2006 in order to increase our understanding of the diagnosis and treatment of the disease. The majority of patients were between 18 and 45 years old (78.8%). Men were more subject to the disease than women. ⋯ The effectiveness rate was 57.7% (30), the improvement rate was 28.8% (15), and the inefficacy rate was 14.0% (6). Neurocysticercosis was easy to misdiagnose. Praziquantel and albendazole are effective drugs for neurocysticercosis.