NepMed Repository

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.

Know

About NepMed

Browse

Journals

Apply

Online

Explore

Resources

Recent Publications

Article

Spinal cord injury rehabilitation in Nepal

(Nepal Medical Association, 2013) Shah, Nabina; Shrestha, Binav; Subba, Kamana

Abstract Spinal cord injury is a major trauma, with its short and long term effects and consequences to the patient, his friends and family. Spinal cord injury is addressed in the developed countries with standard trauma care system commencing immediately after injury and continuing to the specialized rehabilitation units. Rehabilitation is important to those with spinal injury for both functional and psychosocial reintegration. It has been an emerging concept in Nepal, which has been evident with the establishment of the various hospitals with rehabilitation units, rehabilitation centres and physical therapy units in different institutions. However, the spinal cord injury rehabilitation setting and scenario is different in Nepal from those in the developed countries since spinal cord injury rehabilitation care has not been adequately incorporated into the health care delivery system nor its importance has been realized within the medical community of Nepal. To name few, lack of human resource for the rehabilitation care, awareness among the medical personnel and general population, adequate scientific research evidence regarding situation of spinal injury and exorbitant health care policy are the important hurdles that has led to the current situation. Hence, it is our responsibility to address these apparent barriers to successful implementation and functioning of rehabilitation so that those with spinal injury would benefit from enhanced quality of life. Keywords: Rehabilitation; Spinal injury.

Article

Radiological techniques in the diagnosis of strangulating small bowel obstruction

(Nepal Medical Association, 2013) Jha, Ashwini Kumar

ABSTRACT Early detection of signs of strangulation in case of acute small bowel obstruction is critical because it mandates an operation. So, the role of different available radiological techniques used for diagnosing strangulating SBO is reviewed. 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. Keywords: Obstruction; Radiological techniques; Small intestines; Strangulation.

Article

Clinical grading of intrahepatic cholestasis pregnancy

(Nepal Medical Association, 2013) Pradhan, Meena; Yong Shao

Abstract Intrahepatic cholestasis of pregnancy (ICP) is the pregnancy induced liver disorder causing intense itching of palm, sole or even whole body especially in the evening at late second and third trimester. This disease categorized into mild and severe ICP according to raised level of LFT including serum level of Bile acid and Cholic acid. ICP has less morbidity to mother but significant risk for fetus in uterus. The predisposing element to cause intense pruritus is because of high amount of bile acid in maternal serum. Toxic bile acids affect fetal cardiomyocytes that retained in fetus body causing sudden intrauterine fetal death. ICP is commonly found in winter months and mostly itching of body occurs in the evening after sunset. Fetus in uterus is unsafe if motherâ€™s bile acid exceeds normal value. ICP is successfully treated with Ursodeoxycholic acid (UDCA), S-adenosyl methionine (SAME), Dexamethasone and vitamin K.Â Keywords: Itching; Bile acid; Obstetric cholestasis; Ursodeoxycholic cholic acid.

Article

Heart failure with preserved EF: a bird eye view

(Nepal Medical Association, 2013) Fahad Aziz; Luqman-Arfath Thazhatauveetil-Kunhahamed; Chijioke Enweluzo; Misbah Zaeem

Abstract The concept of â€˜â€˜diastolicâ€™â€™ heart failure grew out of the observation that many patients who have the symptoms and signs of heart failure had an apparently normal left ventricular (LV) ejection fraction. Thus it was assumed that since systolic function was â€˜â€˜pre- servedâ€™â€™ the problem must lie in diastole, although it is not clear by whom or when this assumption was made. Diastolic heart failure is associated with a lower annual mortality rate of approximately 8% as compared to annual mortality of 19% in heart failure with systolic dysfunction, however, morbidity rate can be substantial. Thus, diastolic heart failure is an important clinical disorder mainly seen in the elderly patients with hypertensive heart disease. Early recognition and appropriate therapy of diastolic dysfunction is advisable to prevent further progression to diastolic heart failure and death. There is no specific therapy to improve LV diastolic function directly. Medical therapy of diastolic dysfunction is often empirical and lacks clear-cut pathophysiologic concepts. Nevertheless, there is growing evidence that calcium channel blockers, beta-blockers, ACE-inhibitors and ARB as well as nitric oxide donors can be beneficial. Treatment of the underlying disease is currently the most important therapeutic approach. Keywords: Diastolic heart failure; Doppler echocardiography; Treatment.

Article

Unusual case of bilateral angle closure glaucoma

(Nepal Medical Association, 2013) Thapa, Madhu; Khanal, Safal; Prajwal kumar; Shrestha, Gulsan Bahadhu; Sharma, Ananda Kumar

Abstract Bilateral angle closure glaucoma is a rare ocular emergency which can be a potentially blinding condition. A case of 72 years male, who developed headache and vomiting after five days of demise of his mother followed by blurring of vision. He was taken to the general hospital where all the routine tests and CT Scan head failed to reveal the cause. After two days of admission, patient was referred for ophthalmic consultation. On ocular examination he was diagnosed as a case of bilateral angle closure glaucoma. After two hours of treatment patient was comfortable with normal intraocular pressure and reasonably good vision. Keywords: Angle closure glaucoma; Intraocular pressure.

View All Publications