JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Mar 2019
Knowledge, Attitude and Practice on Antibiotics Use and its Resistance Among Medical Students in A Tertiary Care Hospital.
Antimicrobial resistance is an urgent and serious global health problem, demanding considerable attention from health care professionals worldwide. The unavoidable consequence of the widespread use of these agents has been the reason for emergence of antibiotic resistant pathogens, leading to increase in need for new drugs. This study aims to assess knowledge, attitude and practice towards antibiotics use and its resistance in undergraduate medical students. ⋯ Although half of the students had good attitude, majority had moderate knowledge and practice towards antibiotics use. Adequate educational training should be provided to future doctors regarding proper prescribing, dispensing and usage of antibiotics.
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JNMA J Nepal Med Assoc · Mar 2019
Prevalence of Ventilator Associated Pneumonia in Neonates in A Tertiary Care Hospital in Western Nepal.
Ventilator-associated pneumonia is a serious problem which needs to be addressed for a better outcome of the ventilated babies. The present study is undertaken to find out the prevalence of ventilator-associated pneumonia in neonates in a tertiary care hospital in western Nepal. ⋯ Prevalence of ventilator associated pneumonia in neonates in tertiary care hospital is high compared to other studies conducted in neonates.
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JNMA J Nepal Med Assoc · Mar 2019
Case ReportsBilateral Adductor Nerve Palsy Following Total Thyroidectomy: A Case Report.
Recurrent Laryngeal Nerve palsy following thyroidectomy is usually attributed to surgery whereas sometimes the cause can be non-surgical and can result in adductor palsy. Bilateral Recurrent Laryngeal Nerve paralysis is a rare complication of thyroidectomy. We present a case of a 35 years old female who developed dysphonia following thyroidectomy. ⋯ The non-surgical and surgical cause of adductor palsy differs in presentation and management. Tracheostomy is not required, and recovery of the nerve occurs in most cases. Keywords: palsy; recurrent laryngeal nerve; total thyroidectomy.
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JNMA J Nepal Med Assoc · Mar 2019
Nutritional Status among 6-59 Months Children in A Selected Community of A VDC.
Adequate nutrition is essential for proper growth and development of the child. We conducted a cross-sectional descriptive study to find the prevalence of nutritional status of 6-59 month old Tharu children in Duruwa VDC of Dang District. This study also deliberates the socio-economic and demographic character, maternal and child character and child feeding status of the Tharu community children. ⋯ The findings showed that there is still high prevalence of malnutrition in Tharu children of Duruwa so monitoring of nutrition status in Tharu children should be taken seriously and needs to be addressed.
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JNMA J Nepal Med Assoc · Mar 2019
Prevalence of Cesarean Section and Its Indications in A Tertiary Care Hospital.
Cesarean section is a surgical procedure performed to deliver fetus through abdominal route. Increasing rate of cesarean section worldwide is an alarming concern for public health and obstetricians due to increase in financial burden and risk to health of the mother in comparison to vaginal delivery. The aim of the study was to find the prevalence of cesarean section and its most common indication in a tertiary care hospital. ⋯ Prevalence of cesarean section in a tertiary care hospital is high compared to WHO data. The most common indication of cesarean section are fetal distress and previous cesarean section.