JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Mar 2019
Prevalence of Complications after Limberg Rhomboid Flap in Patients with Cutaneous Defects at A Tertiary Care Hospital.
Limberg rhomboid flap is an extremely useful and versatile technique to cover the cutaneous defects in various anatomical locations of different etiology and varied sizes. The main aim of the study is to find the prevalence of complications after limberg rhomboid flap in patients with cutaneous defects at a tertiary care hospital. ⋯ The Limberg rhomboid flap can be used safely in patients with cutaneous defect with minimal complications and good surgical outcome however prevalence of complications after limberg rhomboid flap in patients with cutaneous defects at tertiary care center is high compared to the previous studies done.
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Human nose is one of the important anthropometric parameters for identification of sex and ethnicity of an individual of an unknown identity. The nasal index holds a great value in anthropological studies, because it is one of the anthropometric indices acknowledged in nasal surgery as well as management. The study aims to find the mean nasal index and the nose type of dental students of Kantipur Dental College of Nepal. ⋯ This study concludes that the mean values of nasal index of the students fall under mesorrhine type of nose.
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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.