JNMA; journal of the Nepal Medical Association
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Humanities have an essential role in medical education. The current gap between the humanities and medicine has to be bridged and there should be continuous and vigorous debate about the theory and practice of medical humanities. Medical humanities is a relatively new concept even in developed countries, and is at infancy stage in developing countries. In Nepal, modules on medical humanities have been initiated in certain medical schools by enthusiastic faculties and it requires further debates for inclusion in curriculum.
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JNMA J Nepal Med Assoc · Jan 2014
Emergency Peripartum Hysterectomy as Postpartum Hemorrhage Treatment: Incidence, Risk factors, and Complications.
The aim of the research was to investigate incidence, risk factors, and complications associated with emergency peripartum hysterectomy, the ultimate treatment method for intractable postpartum hemorrhage. ⋯ Emergency peripartum hysterectomy is the last resort as treatment of intractable severe postpartum hemorrhage. Our study depicts that severe post partum hemorrhage, further dreaded complex events for emergency peripartum hysterectomy, has significant association with placental factors, previous caesarean section, and uterine atony. Pathologically, placenta accreta remained the most leading cause of hysterectomy.
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To analyze the spectrum of pelvic and hip joint injuries by computed tomography in patients attending to emergency. ⋯ Spiral CT with multiplanar and 3-D reformations has clinical values for precise diagnosis and treatment plan for the pelvic and hip fractures.
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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.