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
Bubble-CPAP in Neonatal Unit of TUTH
(Nepal Paediatric Society (JNPS), 2010) Shrestha, Merina; Basnet, Sudha; Shrestha, Prakash Sundar
Abstract:
Introduction: Nasal Continuous Positive Airway Pressure (CPAP) in newborn babies with respiratory distress reduces requirement for mechanical ventilation thereby decreasing referral to higher centre. In our neonatal unit prior to the use of this intervention, morbidity and mortality associated with respiratory distress was significant which has decreased after we started CPAP in Kartik 2065 (October 2008) including a decrease in referrals to higher centre for ventilator support.The objective of this study was to evaluate the outcome of bubbling CPAP in newborn babies who had respiratory distress.
Methods: Observational study done in neonatal unit of TUTH over a period of 3 months i.e from Kartik to Poush 2065 B.S (mid of October to mid of January,2008)
Results: 127 neonates were admitted, of whom 15 babies with respiratory distress (11.8% of total admissions) received CPAP. 11 babies improved, while 4 babies died. Among those attending follow up (8 babies) none had any features of chronic lung disease.
Conclusion: In resource poor settings where level II neonatal care is already exists; CPAP can be easily applied for newborn babies with respiratory distress with promising results and it helps to decrease neonatal morbidity and mortality.
The Diencephalic Syndrome of Russell: A Case Report
(Nepal Paediatric Society (JNPS), 2010) Roka, Yam B; Paudel, G; Bidur, KC; Munakomi, S
Abstract:
Diencephalic Syndrome (DS) is also known as Russells Syndrome. This is associated with marked emaciation, locomotor hyperactivity, vomiting, and absence of obvious neurological signs and loss of subcutaneous fat. A 15-month old child who presented with hyperactivity, loss of weight and failure to thrive since bi rth is reported. On Computed Tomography he had a large supra sellar mass with extension into the third ventricle causing gross hydrocephalus. He underwent biventricular shunting followed by microscopic near total excision of the tumor. The histopathology revealed it to be fibrillary meningioma. Although DS is uncommon it must be kept as a differential diagnosis in all children who fail to grow despite adequate intake.
Fetal Hydantoin Syndrome: A Case Report Authors
(Nepal Paediatric Society (JNPS), 2010) Shakya, Needa Shrestha; Gurubacharya, Simmi Misra; Aryal, Dhana Raj
Abstract:
A term baby born to an epileptic mother who was treated with Phenytoin until 10weeks of pregnancy was born with multiple congenital anomalies and diagnosed to have Fetal Hydantoin Syndrome. Infants of mothers who have taken hydantoin during pregnancy have been found to have broad multisystem patterns of abnormalities, including mental retardation, craniofacial anomalies, nail and digital hypoplasia and prenatal onset of growth deficiency. The discussion aims to bring to attention the potential hazard of the use of hydantoin drug during reproductive age to all medical practitioners.
A Typical Case of Child Abuse: A Case Report Authors
(Nepal Paediatric Society (JNPS), 2010) Nepal, Deepeshwara; Dhakal, Ajaya Kumar; Banstola, Dinesh; Mahaseth, Chandeshwar
Abstract:
Child abuse is common but still unnoticed, undiagnosed, neglected childhood problem in Nepal. Child abuse has diverse clinical manifestation ranging from minor injury to severe head trauma to simulating severe medical problem. The true incidence of intentional head injury in children remains uncertain in Nepal. We are reporting a case of child abuse with blunt head trauma with intracranial hemorrhage presenting as a loss of consciousness simulating as a diabetic ketoacidosis (DKA)
Lennox Gastaut Syndrome: A Case Report
(Nepal Paediatric Society (JNPS), 2010) Shrestha, Merina; Shrestha, Laxman; Shrestha, Prakash Sundar
Abstract:
Lennox-Gastaut syndrome (LGS) is a severe form of childhood epilepsy that is defined by generalized multiple type seizures, slowness of intellectual growth, and a specific EEG disturbance. Children affected might previously have infantile spasms or underlying brain disorder but etiology can be idiopathic. LGS seizures are often treatment resistant and the long term prognosis is poor.