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

Dementia assessment and management protocol for doctors in Nepal

(Nepal Medical Association, 2013) Jha, Arun; Sapkota, Nidesh

Abstract WHO Dementia Report published in 2012 highlighted the exponential rise of dementia in the elderly population worldwide, especially in low-and middle-income countries. There may be over 135,000 people with dementia in Nepal, but there are no formal arrangements for diagnosis and treatment or any care and support for their caregivers. WHO developed the Mental Health Gap Action Programme (mhGAP) Intervention Guide in 2010, for mental, neurological and substance use, including dementia in non-specialist health settings. This paper reviews the current dementia care provisions in Nepal and proposes a mhGAP-based dementia assessment and management protocol for Nepalese doctors in hospital/clinic settings. The protocol also outlines a post-diagnostic advice for dementia caregivers. The protocol would be discussed at various stakeholders meetings before recommending for routine clinical use. Keywords: Caregiver burden; Dementia; MCI; Memory clinic; MhGAP-IG; Protocol.

Article

Uncommon solitary mesenteric mass: mesenteric panniculitis

(Nepal Medical Association, 2013) Shah, Abhishek; Dianbo Cao; Shah, Deepa; Wenbin Sun

Abstract Mesenteric panniculitis is a rare, benign disease characterized by a chronic non-specific inflammatory process of mesenteric fat tissue with unknown etiology. Its clinical outcome ranges from complete resolution without any treatment to rapid progression culminating in death. So far, there is no established treatment available for its management. A 53-year-old female was admitted to our hospital because of intermittent abdominal pain, abdominal distension and early satiety for three months. Her abdominal CT scan revealed a solitary, well-defined, heterogeneous mass with a diameter of approximately 3.5cm x 2.8cm in the mesentery of small bowel. Exploratory laparotomy revealed yellowish-grey mass with a gritty consistency and histopathology of the resected specimen confirmed it to be mesenteric panniculitis. An increased awareness may lead to the use of a less invasive diagnostic approach and optimal management of this rare disease entity. Keywords: Computerized Tomography (CT); Mesenteric Panniculitis (MP); Treatment.

Article

Left sided amyand’s hernia with sliding component.

(Nepal Medical Association, 2013) Pun, Ashis; Khatri, Roshan

Abstract The eponym â€˜Amyand herniaâ€™ coined in recognition of Claudius Amyand, the first surgeon to successfully perform appendectomy in a hernia sac containing appendix, refers to the vermiform appendix within inguinal hernia. Here, we present a rare case, of Amyandâ€™s hernia in an 18 month-old boy who was brought with an inguino-scortal swelling which later on exploration was left sided Amyandâ€™s hernia with sliding component. Amyandâ€™s hernia is not very often seen in the clinical practice and its pre-operative diagnosis is very difficult hence awareness of this disease condition is essential for preoperative suspicion and even diagnosis of the condition. Keywords: Amyandâ€™s hernia; Acute appendicitis; Hernial repair.

Article

Cervical dysgenesis with transverse vaginal septum with imperforate hymen in an 11 year old girl presenting with acute abdomen

(Nepal Medical Association, 2013) Gupta, Pratiksha; Gupta, Sangeeta; Jindal, Sunita; Chopra, Kanwaljeet; Sinha, Manjari; Arora, Anita

Abstract This case highlights the importance of careful evaluation of girls presenting with imperforate hymen as this is accompanied by other female reproductive tract anomalies. It is of utmost importance that a correct timely diagnosis is made so that the right treatment can be chosen with the perspective of future fertility. Cervical dysgenesis associated with vaginal septum and imperforate hymen has not been reported in literature so far. Present case highlights the simple mode of management with a successful outcome. Keywords: Cervical dysgenesis; Imperforate hymen; Transverse vaginal septum.

Article

Extensive mucosal erosion and sloughing of tongue: a hitherto unknown complication of topical clotrimazole preparation

(Nepal Medical Association, 2013) Dutta, Mainak; Ghatak, Soumya; Biswas, Gautam; Sinha, Ramanuj

Abstract Clotrimazole, a broad-spectrum imidazole antimycotic, is a widely-used prescription as well as an over-the-counter drug for treatment of mucosal (oral, vulvovaginal) candidiasis and dermatophytes. An extremely safe and well-tolerated drug, its safety profile has been well-explored in researches and trials. The commonest complaints are almost always non-serious-pruritus, rashes, paraesthesia (stinging/burning sensation) and erythema on topical applications, and nausea, vomiting, unpleasant taste sensation and elevated liver enzymes on oral preparations (troches). However, mucosal ulceration on topical clotrimazole preparation has not been reported in literature before. We present here the first documentation of extensive bilateral erosions and necrosis of tongue involving the mucosa, submucosa and musculature on application of one percent weight/volume clotrimazole mouth paint in a 27-year-old immunocompetent woman who presented with oral candidiasis. Keywords: Extensive bilateral ulceration and necrosis; Oral candidiasis; Side effect; Topical clotrimazole.

View All Publications