scholarly journals Evaluation of Etiology and Treatment Methods for Epistaxis: A Review at a Tertiary Care Hospital in Central Nepal

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Ramesh Parajuli
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Treatment Method ◽  
Management Plan ◽  
Nasal Packing ◽  
Care Hospital ◽  
Treatment Methods ◽  
Central Nepal ◽  
Threatening Condition ◽  
Chemical Cautery

Introduction. Epistaxis is one of the most common emergencies in Otorhinolaryngology. It is usually managed with simple conservative measures but occasionally it is a life threatening condition. Identification of the cause is important, as it reflects the management plan being followed.Aims and Objectives. To analyze the etiology and treatment methods for patients with epistaxis.Methods. A retrospective study was done in a tertiary care hospital in central Nepal. The study period was from May 2014 to April 2015.Results. A total of 84 patients had epistaxis; 52 were males and 32 were females. The most common cause of epistaxis was idiopathic (38.09%) followed by hypertension (27.38%), trauma (15.47%), and coagulopathy (8.33%). Regarding treatment methods, most (52.38%) of our patients required anterior nasal packing. Chemical cautery was sufficient to stop bleeding in 14.28% of patients while electrocautery and posterior nasal packing were performed in 2.38% and 16.66% patients, respectively. Two (2.38%) patients required endoscopic sphenopalatine arterial ligation.Conclusion. Hypertension, trauma and coagulopathy were the most common etiological factors among the patients in whom etiology was found although in most of the patients etiology could not be found. Anterior nasal packing was the most common treatment method applied to these patients.

scholarly journals Foreign Bodies in Ear, Nose and Throat: An Experience from a Tertiary Care Hospital in Central Nepal

2019 ◽  
Vol 21 (4) ◽  
pp. 276-282
Author(s):  
Apar Pokharel
Keyword(s):  
Foreign Bodies ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Age Groups ◽  
Care Hospital ◽  
Throat Region ◽  
Central Nepal ◽  
And Gender ◽  
One Year ◽  
Nose And Throat

Foreign bodies are frequently encountered otorhinolaryngology emergency. The objective of this research paper is to analyze different foreign bodies in terms of type, site, age, and gender distribution and methods of removal. A retrospective study was performed from March, 2018 to March, 2019 in a tertiary care hospital in the central part of Nepal. The information was obtained from hospital record books. A total of 315 patients visited the hospital with a foreign body in either of their ear, nose or throat. It comprised of approximately 12% of all the ENT emergencies in the hospital in the last one year of study. Foreign bodies in ear, nose and throat region were found in all age groups, although it was more prevalent among children of age group less than 10 years.

scholarly journals A Rare Case Report of Splenic Abscess Caused by Burkholderia pseudomallei Progressing to Disseminated Melioidosis

2021 ◽  
Vol 10 (11) ◽  
pp. 200-206
Author(s):  
Lakshmi Shanmugam Priyadarshi Ketan ◽  
Stanley Pheba Monika Sivaradjy ◽  
S. Balamurugan Elamurugan Thirthar Palanivelu ◽  
Sastry Apurba Sankar
Keyword(s):  
Burkholderia Pseudomallei ◽  
Rare Case ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Splenic Abscess ◽  
Care Hospital ◽  
Rare Case Report ◽  
Threatening Condition ◽  
Life Threatening ◽  
Upper Abdomen

Splenic abcess is a rare but potentially life threatening condition which can be less frequently caused by gram negative saprophytes, Burkholderia pseudomallei. Because of the challenges faced in the identification of this organism, it is often under diagnosed or misdiagnosed. Here, we report a case of splenic abcess eventually leading to disseminated melioidosis caused by Burkholderia pseudomallei in a 40 year old diabetic male from a tertiary-care hospital in southern India, who presented with fever and pain over left upper abdomen.

scholarly journals Factors Associated with Adherence to Medication among Chronic Obstructive Pulmonary Disease Patients in Tertiary Care Hospital of Nepal: A Cross-Sectional Study

2020 ◽  
pp. 136-144
Author(s):  
Sristi Neupane ◽  
Parbati Thapa ◽  
Anil Giri ◽  
Sumitra Shrestha ◽  
Nirmal Raj Marasine
Keyword(s):  
Medication Adherence ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Chronic Obstructive ◽  
Care Hospital ◽  
Cross Sectional ◽  
Obstructive Pulmonary Disease ◽  
Central Nepal ◽  
Copd Patients

Objective: Patients with chronic obstructive pulmonary disease (COPD) are known to have poor medication adherence in Nepal. Various factors affect the medication adherence of COPD patients. Therefore, we aimed to evaluate the medication adherence and its associated factors among the COPD patients in tertiary care hospitals in central Nepal. Methods: A hospital-based cross-sectional study was carried out among 164 patients aged ≥18 years, diagnosed with and under medication(s) of COPD for at least 6 months from  September 2017 to March 2018, in a tertiary care hospital in central Nepal, using a purposive sampling technique. Morisky Green Levine Adherence (MGLA) score was employed to determine the rate of medication adherence. The differences between the two groups (adherent and non-adherent) were tested using independent t-test, and Chi-square tests, p<0.05 was considered statistically significant.   Results: Patients were mostly ≥60 years (87.1%) and female (56.7%). The majority of the patients were found adherent to the prescribed treatment (108; 65.9%). The major reason for non-adherence was seem to be stopping medicine when feeling better (41.08%) and most of the patients had discontinued the medication due to experience of symptomatic relief (42.9%).Medication adherence was statistically significant with age group at p=0.040, educational status p=0.020, no. of daily drugs p= 0.029, and health behavior of the patients (p= 0.025). Conclusion: Our study suggested that two-third of COPD patients were adherent to their medication, and age, education, number of drugs, and health behaviors of the patients were the most influencing factors for medication adherence.

scholarly journals Critical analysis of disaster management plan in a tertiary care hospital

2021 ◽  
Vol 9 (4) ◽  
pp. 1163
Author(s):  
Ravi Kumar Gupta ◽  
Aditi Mehra ◽  
Sonali Shamdasani
Keyword(s):  
Disaster Management ◽  
Emergency Response ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Management Strategies ◽  
Management Plan ◽  
Hospital Treatment ◽  
Care Hospital ◽  
Hospital Emergency ◽  
Trained Manpower

Background: Disaster in hospital is when the resources of the hospitals (infrastructure, trained manpower and organization) are over-whelmed beyond its normal capacity and additional contingency measures are required to control the event. The calculation of hospital treatment capacity provides a baseline for Hospital Administration to plan accordingly. Critical anaylsis of the disaster management strategies as per the hospital emergency response checklist – an all hazards tool for hospital administrators and emergency managers helps in identifying the gaps and strengthening the disaster management plan.Methods: The study is a retrospective analysis of the response of a tertiary care hospital vis a vis hospital emergency response checklist.Results: The disaster preparedness was analyzed according to the hospital emergency response checklist and gaps were identified.Conclusions: The need for a comprehensive and easily deployable disaster management plan cannot be emphasized enough. The tools of continuous quality improvement can be used and analysis may be used to further strengthen the plan. 

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