Introduction: Tobacco smoking is one of the most important preventable risk factors for noncommunicable diseases. It has been seen that medical students have a higher frequency of smokingcompared to the general population. This study aims to determine the prevalence of smoking amongthird-year medical students in a tertiary care teaching hospital in Nepal. Methods: This descriptive cross-sectional study was conducted among the hospital’s third-yearundergraduate medical students over a four-month period (October 2019 to January 2020). Ethicalclearance was received from the Institutional Review Committee of Kathmandu Medical Collegeand Teaching Hospital. The whole sampling technique was used to collect data. The Global HealthProfessional Students Survey questionnaire was used to collect data. Data analysis was done in thestatistical package for social sciences. Results: The prevalence of current smoking among selected medical students of Kathmandu MedicalCollege and Teaching Hospital is 34 (30.1%), majority male 26 (23%). Fifty-six (49.4%) of them hadever smoked cigarettes in their life, and 27 (23.9%) had their first cigarette in late adolescence. Thenumber of students who used other forms of tobacco was comparatively lower i.e. 6 (5.3%). Manyof the students 53 (46.9%) were exposed to second-hand smoke both at home and in public, while 18(15.9) exposed only at public places, and 6 (5.3%) only at home. Conclusions: Our study has concluded that there is a notable prevalence of smoking among theparticipants. This points to the need for specific training sessions in their clinical years about smokingcessation for themselves and regarding counseling for patients.

Ascariasis is a frequent human gastrointestinal tract helminthic disease caused by Ascaris lumbricoide. It usually stays in the intestinal lumen and occasionally migrates into the biliary tract through ampulla of Vater .Biliary ascariasis is a critical complication of intestinal ascariasis with life-threatening manifestations .We report a case of a-38 year-old lady who presented with colicky type epigastric pain radiating to back with diffuse tenderness over abdomen on examination. Ultrasonography abdomen showed linear echogenic structure in common bile duct .Biliary ascariasis was noted on Endoscopic Retrograde CholangioPancreaticography following which extraction was done .Our report highlights the varied clinical features of biliary ascariasis.

Perinatal asphyxia is one of the major causes of neonatal morbidity and mortality. It mainly causes neurodevelopmental delay leading to hypoxic-ischemic encephalopathy. We present here the case of a preterm male baby of 1670 grams born at 31+3 weeks of gestation delivered by 25-year-old primi mother through vaginal delivery with history of umbilical cord prolapse. At birth, the baby had no heart rate and cyanosed following which he was resuscitated according to the Neonatal Advanced Life Support 2015 guidelines protocol.  After 5 minutes of neonatal resuscitation, the baby’s heart rate reappeared, but was only upto 20 beats/min and resuscitation thus continued. But heart rate did not improve despite of using all form of resuscitation procedure including intubation and drugs. After 2 hours, baby cried spontaneously and later baby was managed in Neonatal Intensive Care Unit according to the neonatal unit protocol of the hospital.