Pub Date : 2017-08-07DOI: 10.3126/HREN.V13I3.17969
S. Manandhar, S. Dhakal, Chettri St
This is a case report of a sixteen years old female presented in the Otolaryngology and Head & Neck Surgery with left submandibular region which did not recovered by medical treatment. She underwent excision of left submandibular gland and hispathological examination confirmed the diagnosis as hydatid cyst of left submandibular gland.Health Renaissance 2015;13(3): 188-190
{"title":"Hydatid cyst submandibular gland, an unusal presentation: A case report","authors":"S. Manandhar, S. Dhakal, Chettri St","doi":"10.3126/HREN.V13I3.17969","DOIUrl":"https://doi.org/10.3126/HREN.V13I3.17969","url":null,"abstract":"This is a case report of a sixteen years old female presented in the Otolaryngology and Head & Neck Surgery with left submandibular region which did not recovered by medical treatment. She underwent excision of left submandibular gland and hispathological examination confirmed the diagnosis as hydatid cyst of left submandibular gland.Health Renaissance 2015;13(3): 188-190","PeriodicalId":333216,"journal":{"name":"Health Renaissance","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116465277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-08-07DOI: 10.3126/HREN.V13I3.17963
S. Chaudhuri, G. Malla, S. Uprety, S. C. Giri, A. Yadav, B. Aryal
Background: The emergency department of B.P Koirala Institute of Health Sciences, Dharan, a 700 bedded tertiary care centre provides all medical and surgical services, with easy access to patients by their family members during most of the resuscitation procedures. Complete privacy hence is not ideally maintained. Coping with emotional stress among the family members can be a gruesome experience and reactions from them can be unpredictable. Hence, health professionals are usually exposed to various emotions of the family members of these sick patients. Methods: It is a descriptive cross sectional study among the health professionals working in the emergency department. A sample size of 80 is taken over a period of 3 months. A semi-structured questionnaire leaflet was distributed and collected by the researcher. The attitude and belief was evaluated by 12 questions on the 5 point Liker scale and cutoff value being 3. Points less than 36 were given as negative attitude towards the family presence and more being positive. Results: Out of 80samples, 75 completed with a response rate of about 94%. The majority belonged to age group 20-29 years (70.7%) age, among profession Nurses respondents were about 56%. Male and Female respondent were about equal in numbers, qualification with undergraduate level was higher (73.3%), with an experience of less than 1year being 40%. Amongst the responders there is a positive attitude with increasing age, experience and qualification. Conclusion: The health professionals had a negative attitude towards the presence of family members during the resuscitation or invasive procedures. Hence with the ethnicity and cultural aspect of family their presence is well accepted. Health Renaissance 2015;13 ( 3 ): 152-160
{"title":"Family presence in emergency: Attitude and belief among emergency health professionals in a Tertiary Care Hospital of Nepal","authors":"S. Chaudhuri, G. Malla, S. Uprety, S. C. Giri, A. Yadav, B. Aryal","doi":"10.3126/HREN.V13I3.17963","DOIUrl":"https://doi.org/10.3126/HREN.V13I3.17963","url":null,"abstract":"Background: The emergency department of B.P Koirala Institute of Health Sciences, Dharan, a 700 bedded tertiary care centre provides all medical and surgical services, with easy access to patients by their family members during most of the resuscitation procedures. Complete privacy hence is not ideally maintained. Coping with emotional stress among the family members can be a gruesome experience and reactions from them can be unpredictable. Hence, health professionals are usually exposed to various emotions of the family members of these sick patients. Methods: It is a descriptive cross sectional study among the health professionals working in the emergency department. A sample size of 80 is taken over a period of 3 months. A semi-structured questionnaire leaflet was distributed and collected by the researcher. The attitude and belief was evaluated by 12 questions on the 5 point Liker scale and cutoff value being 3. Points less than 36 were given as negative attitude towards the family presence and more being positive. Results: Out of 80samples, 75 completed with a response rate of about 94%. The majority belonged to age group 20-29 years (70.7%) age, among profession Nurses respondents were about 56%. Male and Female respondent were about equal in numbers, qualification with undergraduate level was higher (73.3%), with an experience of less than 1year being 40%. Amongst the responders there is a positive attitude with increasing age, experience and qualification. Conclusion: The health professionals had a negative attitude towards the presence of family members during the resuscitation or invasive procedures. Hence with the ethnicity and cultural aspect of family their presence is well accepted. Health Renaissance 2015;13 ( 3 ): 152-160","PeriodicalId":333216,"journal":{"name":"Health Renaissance","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123580512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-08-07DOI: 10.3126/hren.v13i3.17967
S. Ansari, K. Dhungel, K. Ahmad, M. Gupta, A. Panwar
Neurocysticercosis is the commonest parasitic manifestation of brain and the leading cause of seizure in the developing world. It is caused by the ingestion of Taenia solium eggs through contaminated food and especially pork meat. Computed tomography and magnetic resonance imaging are the modality of choice for diagnosis of neurocysticercosis. We report a case of 65 years old male presented with complaint of seizure, which was diagnosed as diffuse parenchymal neurocysticercosis on computed tomography scan of brain. Health Renaissance 2015;13(3): 177-180
{"title":"Diffuse parenchymal neurocysticercosis","authors":"S. Ansari, K. Dhungel, K. Ahmad, M. Gupta, A. Panwar","doi":"10.3126/hren.v13i3.17967","DOIUrl":"https://doi.org/10.3126/hren.v13i3.17967","url":null,"abstract":"Neurocysticercosis is the commonest parasitic manifestation of brain and the leading cause of seizure in the developing world. It is caused by the ingestion of Taenia solium eggs through contaminated food and especially pork meat. Computed tomography and magnetic resonance imaging are the modality of choice for diagnosis of neurocysticercosis. We report a case of 65 years old male presented with complaint of seizure, which was diagnosed as diffuse parenchymal neurocysticercosis on computed tomography scan of brain. Health Renaissance 2015;13(3): 177-180","PeriodicalId":333216,"journal":{"name":"Health Renaissance","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126029040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-08-07DOI: 10.3126/HREN.V13I3.17964
P. Lavaju, Badhu Bp, S. Shah, P. Upadhyaya
Background: Destructive surgery is the management option offered to patients when further retention of the globe is unlikely and can affect ocular and general morbidity.Objective: To determine the frequency and indications for destructive eye surgeries in patients attending a tertiary hospital, Eastern Nepal.Methods: A retrospective analysis of clinical records of all the tructive eye surgeries from April 2008 to March 2013 at a tertiary hospital, Eastern Nepal was carried out. Patients' history, demographic characteristics and indications for the procedure were studied.Results: A total of 88 eyes of 88 patients, who had undergone destructive eye surgery, were reviewed. The mean age of the patient was 22.89 ± 23.49 years, median 9.5 years, with a range of 1.5 months to 80 years. Male: Female ratio was 1:1.04. Enucleation was the most common surgery performed in 46 eyes (52.3%), followed by evisceration in 30 eyes (34.1%) and exenteration in 12 eyes (13.6%). The destructive eye surgery in our study accounted for 51% neoplasms, 17% ocular trauma, 15.9% ocular infection, 10.2% anterior staphyloma and 5.7% painful blind eye. The most common indication for destructive eye surgery was enucleation (60.8%) for retinoblastoma followed by evisceration (46.6%) for open globe injury and exentration (33.3%) for sebaceous gland carcinoma.Conclusions: Enucleation was the most common destructive eye surgery performed. Retinoblastoma, ocular trauma and sebaceous gland carcinoma were the most common indications for destructive eye surgery.Health Renaissance 2015;13 (3): 161-168
{"title":"Indications for destructive eye surgeries at tertiary care hospital, eastern Nepal: A five years experience","authors":"P. Lavaju, Badhu Bp, S. Shah, P. Upadhyaya","doi":"10.3126/HREN.V13I3.17964","DOIUrl":"https://doi.org/10.3126/HREN.V13I3.17964","url":null,"abstract":"Background: Destructive surgery is the management option offered to patients when further retention of the globe is unlikely and can affect ocular and general morbidity.Objective: To determine the frequency and indications for destructive eye surgeries in patients attending a tertiary hospital, Eastern Nepal.Methods: A retrospective analysis of clinical records of all the tructive eye surgeries from April 2008 to March 2013 at a tertiary hospital, Eastern Nepal was carried out. Patients' history, demographic characteristics and indications for the procedure were studied.Results: A total of 88 eyes of 88 patients, who had undergone destructive eye surgery, were reviewed. The mean age of the patient was 22.89 ± 23.49 years, median 9.5 years, with a range of 1.5 months to 80 years. Male: Female ratio was 1:1.04. Enucleation was the most common surgery performed in 46 eyes (52.3%), followed by evisceration in 30 eyes (34.1%) and exenteration in 12 eyes (13.6%). The destructive eye surgery in our study accounted for 51% neoplasms, 17% ocular trauma, 15.9% ocular infection, 10.2% anterior staphyloma and 5.7% painful blind eye. The most common indication for destructive eye surgery was enucleation (60.8%) for retinoblastoma followed by evisceration (46.6%) for open globe injury and exentration (33.3%) for sebaceous gland carcinoma.Conclusions: Enucleation was the most common destructive eye surgery performed. Retinoblastoma, ocular trauma and sebaceous gland carcinoma were the most common indications for destructive eye surgery.Health Renaissance 2015;13 (3): 161-168","PeriodicalId":333216,"journal":{"name":"Health Renaissance","volume":"1999 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128262340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-08-07DOI: 10.3126/HREN.V13I3.17968
S. C. Giri, R. Gupta, R. Bhandari, S. Chaudhuri
Background: Rectal foreign body is uncommon in emergency usually presenting after failure to remove the object manually or with other complications. Case: Twenty two years male in emergency department presented with rectal leeding following a manual attempt to remove drug ampoules from rectum. Conclusion: In an unexplained rectal bleed, foreign bodies could be a pitfall. Health Renaissance 2015;13(3): 185-187
{"title":"Drug ampoules in rectum: Lucky co-incidental finding in emergency department of eastern Nepal","authors":"S. C. Giri, R. Gupta, R. Bhandari, S. Chaudhuri","doi":"10.3126/HREN.V13I3.17968","DOIUrl":"https://doi.org/10.3126/HREN.V13I3.17968","url":null,"abstract":"Background: Rectal foreign body is uncommon in emergency usually presenting after failure to remove the object manually or with other complications. Case: Twenty two years male in emergency department presented with rectal leeding following a manual attempt to remove drug ampoules from rectum. Conclusion: In an unexplained rectal bleed, foreign bodies could be a pitfall. Health Renaissance 2015;13(3): 185-187","PeriodicalId":333216,"journal":{"name":"Health Renaissance","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131504657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-08-07DOI: 10.3126/HREN.V13I3.17962
M. Vijayasree, G. Murali
Background: Convulsions in pregnancy is always considered and treated as Eclampsia unless otherwise proved. Eclampsia is associated with increased risk of maternal death varying from 1.8 % to 14 % in developed countries. Despite availability of Intensive care units and improved antenatal care, some women still die from Eclampsia. Cerebral complications are the major cause of death in eclampsia patients. Hypercoagulopathy of pregnancy is a high risk factor for these patients in respect to development of cerebro vascular thrombosis and ischaemic strokes. Eclampsia patients who are refractory to the routine treatment have been found to have various Central Nervous System pathological conditions amenable to the medical treatment. Objective: To study the neuro pathophysiology behind a seizure in pregnancy and to reduce the morbidity associated with it. To study the role of neuro-imaging in patients with convulsions in pregnancy not responding to treatment with magnesium sulphate (MgSo4). Methods: It was a prospective study design which included 50 antenatal mothers. All patients were admitted in the eclampsia room with history of convulsions and all of them were put on MgSo4 therapy and Antihyperertensives. The patients who were refractory to the treatment such as having recurrent convulsions despite therapy with MgSo4 were selected for neuro- imaging with Computed Tomography scan. Neuro-imaging was done using Phillips Tomoscan CT scanner where slices of 10-mm thickness were taken through the entire brain in the trans-axial plane. Abdomen shielding was done with lead shield to prevent radiation hazard in the antenatal period.The results were documented and analysed using appropriate statistical method. Results: The CT scanning report revealed: Cerebral oedema (30/50), Encephalopathy (10/50), Intra Cranial Haemorrhage (02/50) Cerebral infarction (01/50), Cortical venous sinus thrombosis (01/50), Tuberculomas (01/50), Neurocysticercosis (01/50) and Hydrocephalus (01/50). Three patients out of 50 had normal CT scan report. Conclusion: Patients with convulsions in pregnancy who were refractory to the treatment with MgSo4 and Antihypertensives have been found to have very significant and morbid CNS pathological conditions. Neuro imaging in these patients have done a pivotal role in identifying the abnormality and rectifying it with medical means which had definitely improved patients conditions and have reduced morbidity and mortality. Health Renaissance 2015;13 (3): 144-151
{"title":"Convulsions in pregnancy-not always eclampsia role of neuro-imaging in diagnostic dilemma","authors":"M. Vijayasree, G. Murali","doi":"10.3126/HREN.V13I3.17962","DOIUrl":"https://doi.org/10.3126/HREN.V13I3.17962","url":null,"abstract":"Background: Convulsions in pregnancy is always considered and treated as Eclampsia unless otherwise proved. Eclampsia is associated with increased risk of maternal death varying from 1.8 % to 14 % in developed countries. Despite availability of Intensive care units and improved antenatal care, some women still die from Eclampsia. Cerebral complications are the major cause of death in eclampsia patients. Hypercoagulopathy of pregnancy is a high risk factor for these patients in respect to development of cerebro vascular thrombosis and ischaemic strokes. Eclampsia patients who are refractory to the routine treatment have been found to have various Central Nervous System pathological conditions amenable to the medical treatment. Objective: To study the neuro pathophysiology behind a seizure in pregnancy and to reduce the morbidity associated with it. To study the role of neuro-imaging in patients with convulsions in pregnancy not responding to treatment with magnesium sulphate (MgSo4). Methods: It was a prospective study design which included 50 antenatal mothers. All patients were admitted in the eclampsia room with history of convulsions and all of them were put on MgSo4 therapy and Antihyperertensives. The patients who were refractory to the treatment such as having recurrent convulsions despite therapy with MgSo4 were selected for neuro- imaging with Computed Tomography scan. Neuro-imaging was done using Phillips Tomoscan CT scanner where slices of 10-mm thickness were taken through the entire brain in the trans-axial plane. Abdomen shielding was done with lead shield to prevent radiation hazard in the antenatal period.The results were documented and analysed using appropriate statistical method. Results: The CT scanning report revealed: Cerebral oedema (30/50), Encephalopathy (10/50), Intra Cranial Haemorrhage (02/50) Cerebral infarction (01/50), Cortical venous sinus thrombosis (01/50), Tuberculomas (01/50), Neurocysticercosis (01/50) and Hydrocephalus (01/50). Three patients out of 50 had normal CT scan report. Conclusion: Patients with convulsions in pregnancy who were refractory to the treatment with MgSo4 and Antihypertensives have been found to have very significant and morbid CNS pathological conditions. Neuro imaging in these patients have done a pivotal role in identifying the abnormality and rectifying it with medical means which had definitely improved patients conditions and have reduced morbidity and mortality. Health Renaissance 2015;13 (3): 144-151","PeriodicalId":333216,"journal":{"name":"Health Renaissance","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134482107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-08-07DOI: 10.3126/HREN.V13I3.17966
B. Rai, S. Kafle, A. Sundas
Background: The modes of presentation of abdominal tuberculosis can be vague resulting in diagnostic dilemma.Objective: To report a case of abdominal tuberculosis diagnosed by FNAC of a mesenteric lymphnode.Case: A 17-year-old boy presented in General out Patient department complaining of abdominal pain, abdominal distension, and low grade fever, anorexia and weight loss for 2 months. The examination revealed pallor, low body weight, doughing of abdomen and multiple palpable painless, slightly mobile abdominal lymph nodes. The ultrasonography (USG) guided fine needle aspiration cytology (FNAC) of a mesenteric lymphnode showed caseating necrosis suggestive of tuberculosis. The erythrocytes sedimentation rate (ESR) was raised.Conclusion: The abdominal tuberculosis can present with abdominal pain and abdominal distension associated with low grade fever, anorexia and weight loss. The diagnosis of abdominal tuberculosis can be confirmed by FNAC of the lymphnodes. Health Renaissance 2015;13(3): 177-180
{"title":"A case of abdominal tuberculosis diagnosed by fine needle aspiration cytology (FNAC) of mesenteric lymph node","authors":"B. Rai, S. Kafle, A. Sundas","doi":"10.3126/HREN.V13I3.17966","DOIUrl":"https://doi.org/10.3126/HREN.V13I3.17966","url":null,"abstract":"Background: The modes of presentation of abdominal tuberculosis can be vague resulting in diagnostic dilemma.Objective: To report a case of abdominal tuberculosis diagnosed by FNAC of a mesenteric lymphnode.Case: A 17-year-old boy presented in General out Patient department complaining of abdominal pain, abdominal distension, and low grade fever, anorexia and weight loss for 2 months. The examination revealed pallor, low body weight, doughing of abdomen and multiple palpable painless, slightly mobile abdominal lymph nodes. The ultrasonography (USG) guided fine needle aspiration cytology (FNAC) of a mesenteric lymphnode showed caseating necrosis suggestive of tuberculosis. The erythrocytes sedimentation rate (ESR) was raised.Conclusion: The abdominal tuberculosis can present with abdominal pain and abdominal distension associated with low grade fever, anorexia and weight loss. The diagnosis of abdominal tuberculosis can be confirmed by FNAC of the lymphnodes. Health Renaissance 2015;13(3): 177-180","PeriodicalId":333216,"journal":{"name":"Health Renaissance","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130900243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-08-06DOI: 10.3126/HREN.V13I1.17951
B. Rai, R. Chaudhari, A. Yadav, B. Rai
Background: The Senior or elderly population is rapidly growing in Nepal. They sustain injuries fall frequently which is mostly unintentional and occurs either inside or outside of house. The cost of treatment is high. The most effective fall prevention strategies are multifactorial interventions targeting identified risk factors, exercises for muscle strengthening combined with balance training and withdrawal of psychotropic medication. Objective: To study the pattern and associated rule factors of fall injuries among elderly patients from frequenting in the emergency. Method: It is an observational cross sectional study of fall in senior people presenting in emergency ward using a semi-structured questionnaire. Result: Male and female subjects were 76 (54.3%) and 64 (45.7%) respectively. Among 140 patients, 115 (82.1%) were living with families and 25 (17.9%) were living alone. Fifty six (40%) patients sustained injuries in early morning, fifty-two (37.1%) in late evening and thirty two (22.9%) in the afternoon. Seventy-three percent subjects fell outside and 26.40% fell inside house. Sixty-five (53.6%) patients were suffering from chronic diseases. Fifty-seven (40.7%) patients were suffering from visual impairment. Fourty-seven (33.6%) patients had multiple joints problem, 20% subjects were anaemic. Hypoglyceaemia was present in fifteen (10.7%) subject. Eighteen (12.9%) subjects had a history of fall in past. Eighteen (12.9%) subject had head injury. Twelve (8.6%) subjects had chest injury. Three (2.1%) subjects had abdominal injury and 24 (17.1%) spinal injury. Seventy-three (52.1%) subjects had fracture, 30 (21.4%) had soft tissue injury, 48 (34.3%) external injury and 11 (7.9%) eye most common injury found in elderly patients in this set up. Mosy of the fall injury injuries. Of all 82 (30.7%) patients were admitted in hospital. Conclusion: Fracture of bone was the occurred outside home. Most of the patients required admission in the hospital for treatment.
{"title":"A cross-sectional study of fall injuries in senior people attending emergency ward in BPKIHS, a tertiary level hospital, Dharan, eastern region of Nepal","authors":"B. Rai, R. Chaudhari, A. Yadav, B. Rai","doi":"10.3126/HREN.V13I1.17951","DOIUrl":"https://doi.org/10.3126/HREN.V13I1.17951","url":null,"abstract":"Background: The Senior or elderly population is rapidly growing in Nepal. They sustain injuries fall frequently which is mostly unintentional and occurs either inside or outside of house. The cost of treatment is high. The most effective fall prevention strategies are multifactorial interventions targeting identified risk factors, exercises for muscle strengthening combined with balance training and withdrawal of psychotropic medication. Objective: To study the pattern and associated rule factors of fall injuries among elderly patients from frequenting in the emergency. Method: It is an observational cross sectional study of fall in senior people presenting in emergency ward using a semi-structured questionnaire. Result: Male and female subjects were 76 (54.3%) and 64 (45.7%) respectively. Among 140 patients, 115 (82.1%) were living with families and 25 (17.9%) were living alone. Fifty six (40%) patients sustained injuries in early morning, fifty-two (37.1%) in late evening and thirty two (22.9%) in the afternoon. Seventy-three percent subjects fell outside and 26.40% fell inside house. Sixty-five (53.6%) patients were suffering from chronic diseases. Fifty-seven (40.7%) patients were suffering from visual impairment. Fourty-seven (33.6%) patients had multiple joints problem, 20% subjects were anaemic. Hypoglyceaemia was present in fifteen (10.7%) subject. Eighteen (12.9%) subjects had a history of fall in past. Eighteen (12.9%) subject had head injury. Twelve (8.6%) subjects had chest injury. Three (2.1%) subjects had abdominal injury and 24 (17.1%) spinal injury. Seventy-three (52.1%) subjects had fracture, 30 (21.4%) had soft tissue injury, 48 (34.3%) external injury and 11 (7.9%) eye most common injury found in elderly patients in this set up. Mosy of the fall injury injuries. Of all 82 (30.7%) patients were admitted in hospital. Conclusion: Fracture of bone was the occurred outside home. Most of the patients required admission in the hospital for treatment.","PeriodicalId":333216,"journal":{"name":"Health Renaissance","volume":"9 5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122801018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-08-06DOI: 10.3126/HREN.V13I1.17942
Krn Singh, R. Sah, Pk Pokharel
Introduction: Malaria is a well-known disease and it continues to be a major public health problem at the start of new millennium. The problem is persistent not only amongst the city dwellers but also amongst the rural population.Objective: To identify the magnitude of malaria cases and to compare the malaria cases between hilly area and Terai belts.Methods: This cross-sectional study was carried out in Terai belt of Morang District Nepal at Nobel Medical College & Research Center Biratnagar from March to Oct 2007 and hilly area around Lumbini Medical College Teaching Hospital & Research Center Pravas, Tansen, Palpa of Nepal between March to December 2008. Blood samples were collected from all the cases and malaria parasites were examined by Peripheral Blood Smear Examination and Rapid Card Method Screening.Results: Thirty-five cases were malaria positive from hilly area of whom 80% had Plasmodium vivax infection. Whereas in Terai belt 231 positive cases ware recorded. Out of them (62.8%) cases were affected by Plasmodium vivax infection. That most vulnerable age group was 15 years and above. Males were more affected than females.Conclusion: It was observed that in hilly areas the numbers of positive cases are less than the Terai belt. The magnitude of malaria cases are found high in July. A steady decline has been observed till September to October Health Renaissance 2015;13 (1): 4-12
{"title":"A study on malaria cases in hilly areas and Terai belt of Nepal","authors":"Krn Singh, R. Sah, Pk Pokharel","doi":"10.3126/HREN.V13I1.17942","DOIUrl":"https://doi.org/10.3126/HREN.V13I1.17942","url":null,"abstract":"Introduction: Malaria is a well-known disease and it continues to be a major public health problem at the start of new millennium. The problem is persistent not only amongst the city dwellers but also amongst the rural population.Objective: To identify the magnitude of malaria cases and to compare the malaria cases between hilly area and Terai belts.Methods: This cross-sectional study was carried out in Terai belt of Morang District Nepal at Nobel Medical College & Research Center Biratnagar from March to Oct 2007 and hilly area around Lumbini Medical College Teaching Hospital & Research Center Pravas, Tansen, Palpa of Nepal between March to December 2008. Blood samples were collected from all the cases and malaria parasites were examined by Peripheral Blood Smear Examination and Rapid Card Method Screening.Results: Thirty-five cases were malaria positive from hilly area of whom 80% had Plasmodium vivax infection. Whereas in Terai belt 231 positive cases ware recorded. Out of them (62.8%) cases were affected by Plasmodium vivax infection. That most vulnerable age group was 15 years and above. Males were more affected than females.Conclusion: It was observed that in hilly areas the numbers of positive cases are less than the Terai belt. The magnitude of malaria cases are found high in July. A steady decline has been observed till September to October Health Renaissance 2015;13 (1): 4-12","PeriodicalId":333216,"journal":{"name":"Health Renaissance","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127357525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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