JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Jul 2013
Randomized Controlled TrialProphylactic nasogastric decompression after emergency laparotomy.
Post-operative nasogastric intubation after emergency laparotomy is a common practice in many centers, with the intent of hastening the return of bowel function, relieving gastrointestinal discomfort, reducing various post-operative complications and reducing hospital stay. However, bowel rest and gastric decompression have been re-examined in the light of more recent data. Many studies and meta-analyses over the last 50 years have challenged the routine use of nasogastric tubes after laparotomy. The objective of this study is to evaluate the need for routine nasogastric decompression after emergency laparotomy. ⋯ complications; decompression; emergency laparotomy; flatus; nasogastric tube; prophylactic.
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JNMA J Nepal Med Assoc · Jul 2013
Clinico-radiological aspects of neurocysticercosis in pediatric population in a tertiary hospital.
Neurocysticercosisis common in developing countries including Nepal. Clinicalpresentations vary depending on the CT scan findings of head. Adequate information of neurocysticercosis in children from Western Nepal is lacking. This study was conducted with an objective of evaluating the most common clinical and radiological picture in children suffering from NCC at a tertiary care teaching hospital in Western Nepal. ⋯ Any child presenting with acute onset of afebrile seizure should be screened for neurocysticercosis provided other common infective and metabolic causes are ruled out. CT scan is the valuable diagnostic tool to support our diagnosis.
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JNMA J Nepal Med Assoc · Jul 2013
Emotional and behavioural problems among sheltered homeless children.
Homelessness in children is a serious problem in the society. Factors leading to homelessness in Nepalese children are poverty, unemployment, multiple children, exposure to violence, caste based social discrimination etc. Children living out of their homes have problems in attachment, temperament, social skills, cognitive ability, and language development. Few non-governmental organizations that have started to look after these children but the mental health need is neglected. The study attempted to investigate the emotional and behavioural problems in homeless children in one of the shelters in Kathmandu. ⋯ The rate of emotional and behavioral disorder in homeless children in the study is similar to the school aged non homeless children in previous studies, which may be because of the protection provided by the shelters. This study highlighted the need for methodologically better studies in the field.
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JNMA J Nepal Med Assoc · Jul 2013
Complementary feeding practices of Nepali mothers for 6 months to 24 months children.
Lack of knowledge and proper feeding practices contribute to higher childhood morbidity and mortality. The aim of the study was to evaluate the mother's knowledge and practices in terms of quantity, quality and timing of complementary feeding in infant and young child. ⋯ There was a knowledge and practice gap of duration of exclusive breast feeding and initiation and continuation of ideal complementary feeding. Rate of exclusive breast feeding was on declining trend.
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JNMA J Nepal Med Assoc · Jul 2013
Mobile phone support for rural health workers in Nepal through 'celemedicine'.
Globally, there is a shortage of health workers in rural areas. Effective health systems depend on having sufficient, accessible health workers with the right skills. In countries like Nepal, highly skilled health workers often prefer to work overseas or in urban centres, and therefore, in the short term, it may be pragmatic to focus on ensuring support and skills development of mid level or paramedical health workers. ⋯ The intervention aims to increase appropriate referral, and increase connectivity between the District centre and peripheral health facilities. We hope that our intervention will provide support to rural health workers, and, if implemented as part of a package of interventions, may increase retention. We present some initial findings from discussions with health workers and analysis of call-log data, and describe our next phase evaluation and possible scale-up.