Introduction: Neurologic disorders are very common. Data on the type and burden of neurological cases either in the outpatient and inpatient settings in our country are not available. This research has been done to perform a descriptive analysis of the spectrum of neurological cases which were admitted over a period of one fiscal year in Tribhuvan University Teaching Hospital (TUTH), Maharajgunj, KathmanduMethods: This retrospective study included all patients who were admitted with any neurological complaints over a period of one fiscal year (Shrawan 2067 B.S. to Asar 2068 B.S).
Results:The total number of patients admitted was 1165. Out of these, 693 cases were due to neurological disorders (59.48%). The most common disorders were stroke, seizure disorder and central nervous system infections.
Conclusion:A variety of neurological disorders, from very common to very rare, were admitted.
Introduction: Neurologic disorders are very common. Data on the type and burden of neurological cases either in the outpatient and inpatient settings in our country are not available. This research has been done to perform a descriptive analysis of the spectrum of neurological cases which were admitted over a period of one fiscal year in Tribhuvan University Teaching Hospital (TUTH), Maharajgunj, Kathmandu Methods: This retrospective study included all patients who were admitted with any neurological complaints over a period of one fiscal year (Shrawan 2067 B.S. to Asar 2068 B.S). Results: The total number of patients admitted was 1165. Out of these, 693 cases were due to neurological disorders (59.48%). The most common disorders were stroke, seizure disorder and central nervous system infections. Conclusion: A variety of neurological disorders, from very common to very rare, were admitted. DOI: http://dx.doi.org/10.3126/joim.v34i3.8918 Journal of Institute of Medicine, December, 2012; 34:50-53
Introduction: Epistaxis is a common otolaryngological emergency condition. It occurs due to local and systemic cause. Local cause lies within the nose bleeding either anterior or posterior. Commonest site of bleeding anterior epistaxis is kiesselbach’s plexus. In posterior epistaxis, it is difficult to locate bleeding site. Epistaxis is controlled by simply pinching of nose, decongested nasal drop and abgel packing. Some cases become more challenging required nasal packing and arterial ligation.
Objectives: To study the epidemiological pattern and management of epistaxis.
Methods: This was a retrospective study on pattern of epistaxis managed at Gandaki Medical College Teaching Hospital over a period from April 2015 to April 2016. Information regarding demographic profile, presentation and management of epistaxis was obtained from the Hospital records, ENT Outpatient clinic, Emergency Department, ENT ward and operation theatre.
Results: A total of 78 cases were managed during study period. There was a significant male preponderance with male to female ratio 1.78:1. Patients’ age varied from eight to 80 years with mean age 40.7 years. The peak age of incidence was 21 - 30 years group. Idiopathic nasal bleeding 27 (34.6%) was commonest followed by nasal trauma 23 (29.5%) cases and hypertension 16 (20.5%) cases. Seventeen (21.8%) cases managed in day care basis with decongested nasal drop, chemical cautery and abgel packing. Remaining cases required nasal packing and bipolar cautery and other specific form of treatment. Five (6.4%) cases required sphenopalatine artery ligation with no recurrence of bleeding.
Conclusions: Epistaxis is common ENT emergency. Most common causes are idiopathic followed by nasal trauma and hypertension. Prompt management is instituted according to cases. Most of the cases are managed by non-surgical method.
Leptospirosis, an underreported disease, is a highly prevalent spirochaetal zoonotic disease in both tropical and temperate climates. Symptoms can range from mild illness to potentially life-threatening infection. Laboratory tests are nonspecific. Microbiological confirmation is not widely available in endemic developing countries like Nepal. We need to rely on the serologic test, which has its own pitfalls in the initial days of illness. Here, we report a case of 56 years old female from the western region of Nepal who presented with fever, jaundice and anuria. She initially tested negative for leptospirosis but was later found to be positive in the second week of illness. Unlike the usual non-oliguric renal failure in leptospirosis, she presented with anuria requiring haemodialysis and subsequently had a good recovery with treatment. We highlight the importance of clinical suspicion and logical interpretation of serologic tests based on its timing from the onset of illness.
The Census data of 2011 report that out of 121 crore total population in India, about 2.68 crore persons are living with disability. It constitutes nearly 2.21% of the total population of India. Similarly, in Nepal, the Census in 2011 reported that approximately 2% (513,321) of the total population of Nepal has ‘some kind of disability’. According to the World Health Organization, disability has three dimensions: impairment in a person’s body, structure or function or mental functioning; examples of impairments include loss of a limb, loss of vision or memory, also limitation of activity, such as difficulty in seeing, hearing, walking or problem-solving. Countries around the world are working hard to give better opportunity and changes to make life independent for a person with disability. However, the reality is that discrimination persists in the society. One of the studies1 (Selvi Narayanan, Faculty of Business, Asia Metropolitan University) reveals that discrimination against the disability is more pervasive and more systematic and can present challenges in getting important documents such as voter IDs and driving licenses. The study reveals that the discrimination stems from a lack of understanding of the needs of a person with a disability. Despite all these challenges, people with disabilities are moving forward and doing excellent in their career and education.
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