JNMA; journal of the Nepal Medical Association
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In Nepal, the commonest major malignancies and causes of cancer death are lung, cervix, stomach, breast, head and neck (lip, mouth, pharynx, larynx), gallbladder, ovary and liver. There are seven cancer-causative exposures which should be the focus of attention such as; tobacco smoking in 29% of men, and 6% of women, solid fuel burning in 69% of homes (multiple cancers), betel-nut chewing in 40 % of men and 3% of women (head and neck cancers), alcohol abuse (liver and other cancers), Human Papilloma Virus (cervical cancer), Helicobacter pylori (stomach cancer) and Hepatitis B virus (liver cancer). To better address these reducible exposures, we suggest greater targeted strategies in three areas: Public health messaging for tobacco, solid-fuel burning, betel-nut, and alcohol; national policies for Hepatitis B virus vaccination; and analytic epidemiological and interventional research for Human Papilloma Virus and helicobacter.
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Bachelor of Medicine and Bachelor of Surgery has been a dream before it even began. This journey of half a decade is more fun than just a roller coaster ride, with numerous ups and downs and after each ride we have become stronger and prepared to embrace any challenge that life throws at us. ⋯ Medical learning is a combination of art ,skills and knowledge for practicing medicine. Here I have shared my experience of first and second year of Bachelor of Medicine and Bachelor of Surgery.