JNMA; journal of the Nepal Medical Association
-
JNMA J Nepal Med Assoc · Jan 2019
A Study of Surgical Cases During Earthquake Disaster in A Medical College.
An earthquake is an intense shaking of earth's surface which is caused by movements in earth's outermost layer. The earthquake of 25th April 2015, with a magnitude of 7.8 richter scale with its major aftershock on 12th May 2015 of 7.3 richter scale claimed around 8,962 lives across several districts of Nepal with 22,302 injuries. In this study we tried to figure out various surgical cases and the surgical procedures performed in a tertiary care hospital during an earthquake disaster. ⋯ In natural disaster like earthquakes, traumatic injuries are very common and thereby various surgical procedures especially ortho-plastic are the domain of treatment modalities. Disaster preparedness and combined surgical team effort needs to be focused to reduce both mortality and morbidity.
-
JNMA J Nepal Med Assoc · Jan 2019
Practice of Breastfeeding and its Barriers among Women Working in Tertiary Level Hospitals.
Breastfeeding provides ideal food for newborns and prevents recurrent infection and malnutrition in infants. In Nepal, breastfeeding is a universal practice but exclusive breastfeeding is low. As there is increased involvement of women in workforce, practice of breastfeeding may have been compromised. The main objective of the study was to examine the practice and barriers of breastfeeding among women working in tertiary level hospitals of Nepal. ⋯ Exclusive breastfeeding was very low and children were breastfed for less than two years. Complementary feeding was also started earlier and work was stated as the main barrier for poor breastfeeding practice.
-
JNMA J Nepal Med Assoc · Jan 2019
Regulation of Surgical Procedures and Health Care Facilities Rankings in Nepal.
Globally, millions of surgeries are performed each year to compliment and manage a diverse set of medical conditions. Adverse surgical outcomes constitute a major proportion of avoidable death and disabilities in the hospital, especially in low-income countries like Nepal. ⋯ We discuss here the importance of surgical regulation based on it's financial as well as healthcare implications in the Nepalese healthcare system. Keywords: health care facilities; safety; surgery; surgical procedures; WHO.
-
JNMA J Nepal Med Assoc · Jan 2019
Postprandial Blood Glucose can be less than Fasting Blood Glucose and this is not a Laboratory Error.
Higher fasting blood glucose level than postprandial level can be seen in variety of conditions in both normal population and diabetics. Various modifiable factors along with underlying condition of patient behind such laboratory picture are discussed in this article. Keywords: clinical laboratory; diabetes; fasting blood glucose; postprandial blood glucose.