NepMed is a Nepal MEDLINE(Medical Literature Analysis and Retrieval System Online) by Nepal Health Research Council(NHRC). It includes bibliographic information for articles from academic biomedical journals covering medicine, dentistry, nursing, pharmacy, dentistry veterinary medicine, and allied health sciences.
Recent Publications
Postprandial Blood Glucose can be less than Fasting Blood Glucose and this is not a Laboratory Error
(Nepal Medical Association, 2019) Pant, Vivek; Gautam, Keyoor; Pradhan, Santosh
Abstract
Higher fasting blood glucose level than post prandial 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.
Regulation of Surgical Procedures and Health Care Facilities Rankings in Nepal
(Nepal Medical Association, 2019) Acharya, Yogesh; Dahal, Ranjan; Bista, Navindra Raj; Khanal, Milan Chandra; Bista, Sangita
Abstract
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. A comprehensive study on the standards of surgical procedures and its institutional regulations is missing. We discuss here the importance of surgical regulation based on it’s financial as well as healthcare implications in the Nepalese healthcare system.
Keywords: Surgical procedures; Health care facilities; Safety; Surgery; WHO.
Optometry in Nepalese Context: The Profession Beyond Providing Refraction Services
(Nepal Medical Association, 2019) Kaphle, Dinesh; Kandel, Himal; Paudel, Prakash
Abstract
Optometry is an independent profession which is specialised for providing comprehensive eye care including refraction and dispensing services, diagnosis and management of eye diseases and visual rehabilitation. In clinical settings of Nepal, optometrists are primarily recognised as refractionists and are provided with working opportunities in the same area. This report highlights other optomet- ric services such as binocular vision, multifocal lenses, contact lenses and occupational lens design which can be provided by optometrists besides performing refraction and prescribing spectacles. Considering large proportion of optometrists with further education and being working outside the country, new specialised services can be introduced through training and workshop to the fellow optometrists so that specialised services can reach up to the public level.
Keywords: Nepal; Optometry; Refraction services.
Ingestion of Bell Clappers by a Shaman in Jumla, Nepal: A Case Report
(Nepal Medical Association, 2019) Thapa, Niresh; Basnyat, Subi; Maharjan, Muna
Abstract
Accidental foreign body ingestion is a common problem encountered in Emergency. Deliberate foreign body ingestion may result due to an act of insanity or an act of daring. A shaman locally known as Dhami was brought to Emergency with the history of ingestion of bell clappers. He denied the history of psychiatric illness or substance abuse. On physical examination, there were signs of peritonitis. Laparotomy was done to remove the foreign bodies. Post-operative period was uneventful. Apart from the surgical intervention, psychological counselling was given to him. This is a rare interesting case due to the fact that the 15 cm long foreign bodies passing all the way through without significant injury and finally causing obstruction in ileocecal junction and perforation in the distal ileum.
Keywords: Case report; Foreign bodies; Nepal; Shaman.
Pleomorphic Adenoma of the Submandibular Gland: A Case Report
(Nepal Medical Association, 2019) Khanal, Prakash
Abstract
Salivary gland tumours are relatively rare and constitute about 3-4 % of head and neck tumours. Most of the tumours arise from parotid glands. Submandibular gland tumours are very rare. Pleomorphic adenoma of the submandibular gland is exceedingly rare tumour. Very few studies have been reported in the literature that is exclusively conducted on pleomorphic adenoma affecting submandibular gland. Patients usually present with a slow growing, painless and mobile mass without any other associated symptoms. Radiologic studies are usually unable to differentiate benign from malignant tumours in most cases. Recurrence is rare with complete en bloc excision of the tumour along with submandibular gland. Prognosis is excellent except for the rare cases of malignant transformation. This paper describes a case of pleomorphic adenoma affecting submandibular gland with brief review of current literature on submandibular gland tumours.
Keywords: Pleomorphic adenoma; Salivary gland; Submandibular gland tumours.