Browsing by Author "Bom, Rabin"
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Publication Emergency Transport, Diagnosis and Resuscitation of Penetrating Injury Caused by Iron Rod: A Case Report(Institute of Medicine, 2021) Shrestha, Jukel; Bastola, Hemanta; Koirala, Dinesh P; Shakya, Jasmine; Bom, Rabin; Maharjan, Ramesh K; Shakya, Yogendra M; Prasad, Pratap NABSTRACTForeign bodies with their long edges that penetrate the body are potentially life-threatening, owing to the resulting hemorrhagic shock and visceral damage. In an under-resourced environment, the outcome after major impalement injury can be improved by (a) rapid transport with the impaled object in situ (b) quick assessment and resuscitation in the emergency room (c) transport to operating room for definitive care. We report here the successful management of penetrating long iron rod injury from the perineum to the loin of pediatric patient, including transport from rural to tertiary hospital, diagnosis and, resuscitation. Keywords: Fall injury, iron rod, penetrating injury, perineal impalement injury, prehospital carePublication Human Ocular Thelaziasis: A Case Report(Nepal Medical Association, 2021) Pal, Anjila; Atreya, Alok; Maharjan, Nabina; Mahat, Monika; Bom, RabinAbstract: Thelaziasis is a zoonotic disease which affects the eye of domestic and wild carnivores caused by the nematode Thelazia. It is transmitted to humans by secretophagous arthropod-borne zoophilic nonbiting flies of the family Drosophilidae. Human thelaziasis is rare and occurs in poor socio-economic families of the rural locations where people live in close proximity with animals. A one and halfyear-old was presented to the outpatient ophthalmology clinic after her mother noticed a whitish, thread-like worm in her right eye. A total of four worms were mechanically removed from her right eye. All the collected worms were gravid female nematodes of Thelazia species. The present case of human ocular thelaziasis from Palpa, Nepal is presented for its rarity.Publication Use of Turmeric Against Escherichia coli and Staphylococcus aureus Isolated from Urinary Tract Infections: A Laboratory-Based Study(Institute of Medicine, 2021) Pal, Anjila; Mahawal, Bhim S; Bom, RabinABSTRACT Introduction: Urinary tract infection (UTI) is an important global health problem affecting millions of peoples annually; more common among females. Among the various bacterial etiologies for UTIs, Escherichia coli is the commonest one. Turmeric has been used since ancient times as a home remedy for various medical conditions. The aim of our study is to determine the prevalence of E. coli and Staphylococcus aureus associated UTIs, their antibiogram and antibacterial effects of aqueous extracts and discs of turmeric against these isolates. Methods: All the urine samples were cultured and the isolates were identified as E. coli and S. aureus based on standard microbiological tests. Different turmeric extracts were prepared using ethanol, methanol and distilled water as solvents. Turmeric discs were also prepared by soaking the sterile filter paper discs in the different turmeric extracts. The isolated E. coli and S. aureus were tested for antibacterial activity against turmeric extracts and discs by using agar well diffusion and disc diffusion assays. Results: Out of 240 urine samples, 90 showed growth with 26.67% (24) and 5.55% (5) isolates of E. coli and S. aureus respectively. Most of the isolates were isolated from females of the age group 41-60 years. No zone of inhibition was observed for any of the bacterial isolates as well as the standard ATCC strains of E. coli and S. aureus against all the turmeric extracts. Nitrofurantoin and Gentamicin were most effective antibiotics against E. coli and S. aureus respectively. Conclusion: This study concluded that no antibacterial activity was seen for bacteria isolated from suspected cases of UTIs namely; E. coli and S. aureus against different turmeric extracts and discs. Keywords: Antibacterial activity, turmeric, UTI