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 Submissions
Establishing PCR Testing in Nepal for Covid-19: Challenges and Opportunities
(Kathmandu University, 2020) Khadka, RB; Gyawali, R
ABSTRACT
Polymerase chain reaction (PCR) invented by Kary Mullis (1983), has become
the centrepiece of molecular detection of various infectious diseases including
coronavirus disease 2019 (COVID-19). Many developing countries like Nepal
faces various challenges and grab many future opportunities during and after
establishment of molecular PCR laboratories throughout the country. This
viewpoint describes the involvement of laboratory employees, development and
adoption of new protocols or framework, deliberate partnership with national and
international community is very efficient for the establishment of PCR laboratories.
Beside this, continued alliance and nation leadership is crucial to generate a unified
and sustainable PCR laboratory network in the country like Nepal. In future the
established PCR laboratories can be utilized for the diagnosis of others pandemic
diseases and can be used for multipurpose like in verification of infectious diseases;
Oncology; Blood test; Genetic testing.
KEY WORDS
COVID-19, Nepal, RT-PCR
Pregnancy Complicated by Acute Pancreatitis with Ascariasis
(Kathmandu University, 2020) Thakur, SK; Dangal, G; Karki, A; Pradhan, H; Shrestha, R; Bhattachan, K; Bajracharya, N; Tiwari, K; Bharati, S; Maharjan, O; Maharjan, S
ABSTRACT
Ascariasis lumbricoides infections are common in tropical and sub-tropical
countries. As it is one of the common causes for common bile duct obstruction.
But in pregnancy is a rare entity. It may present with complications like acute
pancreatitis. Here we present a case of 24 year female gravida 2 para 1 at 34
weeks of pregnancy presented with chief complain of pain over epigastric region
radiating to back and associated with two episodes of vomiting, non bilious, not
mixed with blood. Ultrasonography showed long tubular hyperechoic structure in
gallbladder lumen most likely ascariasis and then she was diagnosed as a case of
acute pancreatitis with alive ascariasis.
KEY WORDS
Acute pancreatitis, Ascariasis lumbricoides, Pregnancy, Ultrasonography
Case Report of an 18 Year Old Girl with Solid Pseudo-papillary Tumor of Pancreas
(Kathmandu University, 2020) Sigdel, S; Niroula, S; Sapkota, G; Chang, LH; Mishra, R
ABSTRACT
Solid Pseudo-papillary Tumor (SPT) of the pancreas is a rare tumor which typically
affects young women without any significant clinical symptoms. Solid Pseudo-
papillary Tumor usually shows an indolent behavior and only rare cases recur
and/or metastasize after complete resection. Here is a case report of 18 years
old girl who presented to our centre with complaints of severe epigastric pain
and underwent pancreatic parenchyma saving surgery for a large pancreatic head
mass. In conclusion, Solid Pseudo-papillary Tumor being a large tumor possess a
low malignant potential in which R0 resection has excellent prognosis.
KEY WORDS
Enucleation, Frantz tumor, Solid pseudo-papillary tumor (SPT), Surgical resection