JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Jul 2013
Emotional and behavioural problems among sheltered homeless children.
Homelessness in children is a serious problem in the society. Factors leading to homelessness in Nepalese children are poverty, unemployment, multiple children, exposure to violence, caste based social discrimination etc. Children living out of their homes have problems in attachment, temperament, social skills, cognitive ability, and language development. Few non-governmental organizations that have started to look after these children but the mental health need is neglected. The study attempted to investigate the emotional and behavioural problems in homeless children in one of the shelters in Kathmandu. ⋯ The rate of emotional and behavioral disorder in homeless children in the study is similar to the school aged non homeless children in previous studies, which may be because of the protection provided by the shelters. This study highlighted the need for methodologically better studies in the field.
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JNMA J Nepal Med Assoc · Jul 2013
Complementary feeding practices of Nepali mothers for 6 months to 24 months children.
Lack of knowledge and proper feeding practices contribute to higher childhood morbidity and mortality. The aim of the study was to evaluate the mother's knowledge and practices in terms of quantity, quality and timing of complementary feeding in infant and young child. ⋯ There was a knowledge and practice gap of duration of exclusive breast feeding and initiation and continuation of ideal complementary feeding. Rate of exclusive breast feeding was on declining trend.
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JNMA J Nepal Med Assoc · Jul 2013
Mobile phone support for rural health workers in Nepal through 'celemedicine'.
Globally, there is a shortage of health workers in rural areas. Effective health systems depend on having sufficient, accessible health workers with the right skills. In countries like Nepal, highly skilled health workers often prefer to work overseas or in urban centres, and therefore, in the short term, it may be pragmatic to focus on ensuring support and skills development of mid level or paramedical health workers. ⋯ The intervention aims to increase appropriate referral, and increase connectivity between the District centre and peripheral health facilities. We hope that our intervention will provide support to rural health workers, and, if implemented as part of a package of interventions, may increase retention. We present some initial findings from discussions with health workers and analysis of call-log data, and describe our next phase evaluation and possible scale-up.
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JNMA J Nepal Med Assoc · Jul 2013
Detection of abnormal cervical cytology in papanicolaou smears in a tertiary care center.
Cancer of uterine cervix is a leading cause of mortality and morbidity among women worldwide. In developing countries it is the most common gynaecological cancer and one of the leading causes of cancer death among women. Pap smears are commonly used as cytological screening test for successful eradication of precancerous lesions, which has made it a routine procedure worldwide. ⋯ In country like Nepal with predominant rural population, screening and awareness programs with co-operation of media, non-government organizations and government should be formulated for early detection of cervical cancer.
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JNMA J Nepal Med Assoc · Apr 2013
Radiological techniques in the diagnosis of strangulating small bowel obstruction.
Early detection of signs of strangulation in case of acute small bowel obstruction is critical because it mandates an operation. Therefore the role of different radiological techniques used for diagnosing strangulating small bowel obstruction has been discussed here. Strangulation remains a major problem in patients with acute small bowel obstruction. Despite of having several radiological diagnostic tools, CT is the only method with established higher diagnostic sensitivity and specificity in patients with acute small bowel obstruction as well as strangulation.