scholarly journals Trends of Abortion Care Utilization in a Medical College of Western Region of Nepal

2018 ◽  
Vol 11 (1) ◽  
pp. 14-16 ◽  
Author(s):  
R Shrestha ◽  
P Adhikari
Keyword(s):  
College Teaching ◽  
Well Being ◽  
Care Utilization ◽  
Western Region ◽  
Age Group ◽  
Safe Abortion ◽  
Medical College ◽  
Abortion Care ◽  
Vacuum Aspiration ◽  
Health And Well Being

Introduction: Unsafe abortion is one of the important issues in reproductive and women’s health in developing countries. Social values and stigmas have much role and have been obstacle in countries like Nepal for the utilization of safe abortion services.Objectives: This study helps to provide brief overview of the pattern of abortion and its associated factors in a centre providing safe abortion services.Methods: This is a retrospective study carried out in Gandaki Medical College Teaching Hospital after reviewing the records of all the women who underwent Manual Vacuum Aspiration (MVA). Age, gravida, week of gestation and type of abortion were noted and analysed.Results: Maximum number of women belonged to age group of 25-29 and is primigravida. Most of them presented at fifth to ninth weeks of gestation and had incomplete abortion.Conclusions: Awareness and education regarding the availability of safe abortion services and its practice would improve the women’s reproductive health and well being. J-GMC-N | Volume 11 | Issue 01 | January-June 2018, Page: 14-16 

scholarly journals Nasal Polyposis: An Experience in Mid and Far Western Region of Nepal

2018 ◽  
Vol 14 (2) ◽  
pp. 15-17
Author(s):  
A Sharma ◽  
RK Saxena ◽  
L R Verma
Keyword(s):  
Nasal Polyposis ◽  
Age Groups ◽  
College Teaching ◽  
Distribution Patterns ◽  
Nasal Discharge ◽  
Western Region ◽  
Antrochoanal Polyp ◽  
Age Group ◽  
Medical College ◽  
Younger Age

Background: Nasal polyposis is an unpleasant disease in the developing countries which severely interferes with quality of life but still there is a lack of data on nasal polyposis in Mid and Far Western Region of Nepal.Aim of study: The aim of this hospital based study was to find out the distribution, patterns, presentations and management of nasal polyposis in Mid and Far Western Region of Nepal with a view to improve our understanding of its clinical and epidemiological characteristics.Methods: This prospective descriptive study was conducted from January 2015 to June 2016 in 80 patients diagnosed clinically as nasal polyposis, in the department of otorhinoloryngology, Nepalgunj Medical College Teaching Hospital, Kohalpur. Results: The most common age group affected in the study was comparatively younger ranging from 10-20 yrs. Ethmoidal Polyp were more frequent than antrochoanal polyp (56.25% vs 43.75%). Antrochoanal polyp were more common among the younger age groups 10-20 yrs (30%) where as the ethmoidal polyp were more common among higher age group. All antrochonal polyps (100%) were unilateral while majority of the ethmoidal polyps (89%) were bilateral. The main presenting clinical features were nasal obstruction (100%), nasal discharge (93.75%), sneezing (72.5%) and headache (40%).Conclusion: Nasal polyposis is common in Mid and Far western region of Nepal. Ethmoidal polyps are more common than antrochoanal polyps and are usually bilateral. Antrochoanal polyps are unilateral and mostly present in 10-20 yrs age group patients. Patients usually present late when the polyps are large. NGMC, Vol. 14 No. 2 December 2016, Page: 15-17

scholarly journals Histopathological Analysis of Endometrial Biopsy in Gandaki Medical College Teaching Hospital, Pokhara, Nepal

2019 ◽  
Vol 12 (1) ◽  
pp. 25-30
Author(s):  
B Parajuli ◽  
G Pun ◽  
S Ranabhat ◽  
S Poudel
Keyword(s):  
Histopathological Examination ◽  
Hydatidiform Mole ◽  
College Teaching ◽  
Histopathological Diagnosis ◽  
Age Group ◽  
Medical College ◽  
Dilatation And Curettage ◽  
Partial Mole ◽  
Proliferative Endometrium ◽  
The Common

Objective: To study the spectrum of histopathological diagnosis of endometrial lesions and their distribution according to age. Methods: All the endometrium samples obtained by the procedure of dilatation and curettage and hysterectomy sent for histopathological examination at Pathology Department of Gandaki Medical College Teaching Hospital, Pokhara, Nepal. The study duration was total 12 months ranging from July 2016 to June 2017. All the endometrial samples were processed, sectioned at 4 - 6 μm and stained with routine H & E stain. Patient’s data including age, sex, procedure of the biopsy taken and histopathological diagnosis were noted. A pathologist, using Olympus microscope, reported the slides. Cases were reviewed by a second pathologist whenever necessary. Results: A total of 128 cases were studied. The most common histopathological diagnosis was proliferative endometrium (28.9%) followed by disorder proliferative endometrium (15.65%). Most of the patients were in age group 36 - 45 years comprising 32.03%. Hydatidiform mole comprised of 7.03% and among Hydatidiform mole, partial mole was more common. Dilatation and curettage (82.8%) was the common procedure in compare to hysterectomy for the evaluation of endometrial lesions. Conclusions: In this study, we observed a variety of endometrial lesions. Most of them are benign; among benign, proliferative endometrium was the common histopathological diagnosis followed by disorder proliferative endometrium. Most common presenting age group was found to be at 36 - 45 years. In evaluation of hydatidiform mole, partial mole was more frequent in compare to complete mole. Conventional dilatation and curettage is the preferred method in developing countries with limited resource to screen endometrial lesion and therefore biopsy should be sent for histopathological examination. Thus histopathological examination of routinely stained hematoxylin and eosin is readily available and widely accepted standard technique for evaluation of the endometrial lesions.

scholarly journals Profile of new Patients attending Psychiatry Out-patient Department at Lumbini Medical College-Teaching Hospital, Palpa

2018 ◽  
Vol 6 (2) ◽  
pp. 42-44
Author(s):  
B Sharma ◽  
A Devkota ◽  
SC Pant
Keyword(s):  
Psychiatric Illness ◽  
Tertiary Care ◽  
College Teaching ◽  
Age Group ◽  
Household Work ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Level Of Education ◽  
Primary Level ◽  
Medical College

Introduction: Study on prevalence of psychiatric disorders in Palpa and nearby districts which lie in western Nepal, is not much studied till date. We therefore conducted this study aiming to see the pattern of psychiatric illness in an Outpatient Department of Lumbini Medical College which is a tertiary care centre located in Palpa district.Material And Method: : This is a retrospective study where outpatient record of all new cases attending the Psychiatry OPD from 29th Oct 2014 to 29th Dec 2014 were studied and statistical analysis were done. The number of new patients were 107.Results: Out of 107 patients, 60.74 % (65)) were females and 39.26 %( 42) were males. Patients of age group 31-40yrs showed the largest proportion (27.49%) followed by age group 41-50yrs (24.29%). Majority cases were illiterate (69.15%) followed by primary level of education (14.95%). The occupation of most of the cases were household work (35.51%) followed by farming (31.77%). Anxiety disorder (27.10%) was the most frequent diagnosis ahead of “Others” (18.69%) followed by depressive disorder (15.88%).Conclusion: Most of the new patients attending the psychiatry OPD of Lumbini Medical College were females, of 31-40 age group and most of the patients suffered from anxiety disorders. J Psychiatrists’ Association of Nepal Vol. 6, No. 2, 2017, Page: 42-44

scholarly journals A study of gastrointestinal tumors at kathmandu medical college teaching hospital

2018 ◽  
Vol 8 (1) ◽  
pp. 1285-1288
Author(s):  
Sailesh Bahadur Pradhan ◽  
Binita Pradhan ◽  
Sailuja Maharjan ◽  
Prabin Bikram Thapa
Keyword(s):  
Gastrointestinal Tract ◽  
Teaching Hospital ◽  
Histopathological Examination ◽  
Benign Lesion ◽  
Malignant Lesion ◽  
College Teaching ◽  
Age Group ◽  
Benign Lesions ◽  
Cross Sectional ◽  
Medical College

Background: Gastrointestinal tract tumour is responsible for more cancers and death than any other cancers.  The tumour in GIT include the tumour of the Oral cavity, Esophagus, Stomach, Colon, Rectum, Liver, Gallbladder, Pancreas and Biliary tree.Materials and methods: A cross sectional study was carried out among all the gastrointestinal tract tumours specimens received for histopathological examination in between January 2016 to June 2017 in Department of Pathology, Kathmandu Medical College Teaching Hospital. All tumors diagnosed either benign or malignant were included in this study. Ethical clearance was obtained from the Institutional Review Committee in KMCTH.Results: Colorectum was found to be the most commonly involved site for malignant lesion comprising 40.2% among all malignant lesions followed by stomach comprising 28.6%. Malignancy was found to be more prevalent among male with M:F ratio of 1.6:1 in colorectal region and 1.4:1 in stomach cancers. Regarding benign lesions (polyps), rectum was found to be the commonest site (57.5%), followed by colon (20.0%) and stomach, the least common site.Malignant lesions were more common among the age group of 51-60 years (37.66%) with 70.13% above 50 years. Benign lesions were also found to be the most common above 50 years comprising 40.0 percent.Conclusion: Rectum & colon was found to be the most commonly involved site for both malignant and benign lesion. Malignancy is more prevalent among male and common above 50 years of age. However, malignant cases noted in the adult age group are a matter of great concern.

FinChildren Register: National monitoring of child and adolescent health and well-being in Finland

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Lundqvist ◽  
E Haapala ◽  
S Jääskeläinen ◽  
J Sundman ◽  
P Mäntymaa ◽  
...  
Keyword(s):  
Adolescent Health ◽  
Well Being ◽  
Child And Adolescent ◽  
Health Check ◽  
Age Group ◽  
Child And Adolescent Health ◽  
Health Clinics ◽  
Data Coverage ◽  
Weight Data ◽  
Health And Well Being

Abstract Background Comprehensive and up-to-date data on child and adolescent health and well-being is essential for monitoring, service development and decision-making. Although nearly all children and adolescents in Finland attend annual health check-ups at child health clinics and school healthcare, the utilization of collected data has been limited. The objective is to produce timely and representative information on the health and well-being of children, adolescents and their families based on routinely collected register data. Methods Data are collected from health check-ups performed at child health clinics and school health care. Recorded data are transferred through patient information systems to the Register of Primary Health Care Visits. The data can be linked to other national registers with personal identity codes. The first phase aimed to evaluate the availability and quality of register-based data through inspection of data coverage on height and weight data of children and adolescents aged 2 to 16 years. Results In 2018, the coverage of height and weight data ranged from 0% to 100% between municipalities depending on age group. Results were published through an interactive map application and municipality-specific summaries by gender and age group at national and municipality levels. The data enabled reporting up-to-date results on the prevalence of child and adolescent overweight and obesity in Finland. Conclusions Data from health check-ups form an excellent database for monitoring child and adolescent health and well-being in Finland. The challenges of utilizing register data are mainly caused by difficulties in data transfer from patient information systems resulting in insufficient data coverage. Publishing local-level reports on data coverage as well as on the results promotes data availability and quality while enabling evaluation of actions needed for promoting the health and welfare of children and their families.

scholarly journals An Overview of Sexual Assault Cases in Nepal

2017 ◽  
Vol 9 (2) ◽  
pp. 43-46 ◽  
Author(s):  
Neelu Hirachan ◽  
D Limbu
Keyword(s):  
Sexual Assault ◽  
Expert Witness ◽  
Descriptive Analysis ◽  
College Teaching ◽  
Skills Training ◽  
Age Group ◽  
Institute Of Medicine ◽  
Medical College ◽  
Relationship Of ◽  
Genital Injuries

Background: Sexual assault is defined as any sexual act performed by one (or more) person(s) on another without consent. It may include the use of threat or force. In some cases, the person cannot give consent to sex because he/she is unconscious or otherwise incapacitated. A person may be raped by a stranger, an acquaintance or date or a family member.Methods: The study was a retrospective and descriptive analysis of cases of sexual assault victims examined by the author in the Forensic Medicine departments at Institute of Medicine, Maharajgunj and Gandaki Medical College Teaching Hospital, Pokhara, Nepal over a period of four years (2012 to 2016). This includes information regarding the age group of the victim at the time of sexual abuse, relationship of the victim to the perpetrator, genital and extra-genital injuries present over the victim’s body and number of cases attended as an expert witness by the author in various courts of Nepal.Results: In the four years period, a total number of 55 cases were examined as sexual assault cases. It was observed that majority were of the 13 - 15 years of age group (46%) followed by <10 years (20%), 16 - 20 years (16%), >20 years (11%) and 10 - 12 years (7%). Regarding the relationship of the victim to the alleged perpetrator, 87% cases (48 out of 55) were related to acquaintances compared to 13% due to strangers. Surprisingly, 3.6% cases (2 out of 48) were due to the biological fathers of the victims. On physical examination of the victim’s body, 36% cases showed genital injuries compared to only 15% with extra genital injuries. The author attended the court as an expert witness in 33% of these cases. Only 7% of the cases were mentally challenged.Conclusion: Young adults remain the most vulnerable group, so education related to sex, morality, humanity and different life skills training should be provided to these groups from their school years itself. The benefits of early intervention and comprehensive care of survivors with the use of standardized protocols along with shorter and lesser traumatic period of court processing to the survivors of these cases should be encouraged.Journal of Gandaki Medical College Volume, 09, Number 2, July December  2016, Page: 43-46

scholarly journals Prevalence of Bacterial Vaginosis and Its Association with Risk Factors among Nonpregnant Women: A Hospital Based Study

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Eliza Ranjit ◽  
Bijendra Raj Raghubanshi ◽  
Smrity Maskey ◽  
Pramila Parajuli
Keyword(s):  
Risk Factors ◽  
Bacterial Vaginosis ◽  
College Teaching ◽  
Reproductive Age ◽  
Age Group ◽  
Women Of Reproductive Age ◽  
Coagulase Negative Staphylococci ◽  
Scoring Method ◽  
Medical College ◽  
Reproductive Age Group

Bacterial vaginosis (BV) is an ecological imbalance of the vaginal microbiota affecting mostly women of reproductive age group. This study was carried out among 160 nonpregnant women registered at the Outpatient Department of Gynaecology/Obstetrics of KIST Medical College Teaching Hospital, Imadol, Lalitpur, Nepal, from November 2014 to May 2015. The aim of the study was to assess the association of the risk factors with BV and analyze the type of bacteria associated with BV. Nugent’s scoring method was used for diagnosis of BV in this study. The overall prevalence of BV was 24.4% among symptomatic patients. Douching was statistically related to BV(P=0.015). Also, BV was significantly associated with consistency(P=0.0001), odor(P=0.02), and amount of abnormal vaginal discharge(P=0.09). Contraceptives users on anatomical sites were found more prone to BV than those who did not use contraceptives on anatomical sites.Pseudomonasspp.,Escherichia coli, Acinetobacterspp., Proteusspp., Klebsiellaspp., Neisseria gonorrhoeae, Enterobacterspp., Citrobacterspp., Staphylococcus aureus,Coagulase-Negative Staphylococci (CoNS),andStreptococcus agalactiaewere associated with BV and out of thoseLactobacillusspp. was the predominant organism. The higher prevalence of BV among symptomatic patients indicates interventions should be applied to reduce the incidence of stillbirth, abortion, and sterility.

scholarly journals Maternal Mortality: Sharing Experience from Nobel Medical College Teaching Hospital

2014 ◽  
Vol 7 (2) ◽  
pp. 33-35
Author(s):  
S Ghimire
Keyword(s):  
Maternal Mortality ◽  
Teaching Hospital ◽  
Post Partum ◽  
Maternal Mortality Ratio ◽  
College Teaching ◽  
Eastern Region ◽  
Safe Abortion ◽  
Maternal Deaths ◽  
Medical College ◽  
One Year

Aims: To analyse causes of maternal deaths and to identify avoidable factors. Methods: This was a retrospective analysis of maternal deaths, during a period of one year from 15th April, 2011-15th April, 2012, at Nobel Medical College Teaching Hospital, Biratnagar in the Eastern Region of Nepal case files and hospital records being the data sources. All the maternal deaths were recorded. Results: In one year study period, out of a total of 2,754 deliveries, there were 8 maternal deaths giving maternal mortality ratio of 310/100,000 live births. Three of them resulted from an induced abortion mishap and five of them were obstetric deaths. Four of the direct obstetric deaths resulted from complications of pregnancy induced hypertension (PIH) of which one case died due to traumatic post partum hemorrhage postpartum hemorrhage (PPH) as a result of torrential bleeding from extensive vaginal wall tear. One indirect obstetric death occurred in a case of twin pregnancy with severe anemia and congestive cardiac failure. Conclusions: Provision of safe abortion services is still not available to many women despite of legalization of abortion in Nepal. Quality antenatal care services would be helpful in avoiding maternal mortality in many situations by detecting and managing medical complications of pregnancy. DOI: http://www.dx.doi.org/10.3126/njog.v7i2.11140   Nepal Journal of Obstetrics and Gynaecology / Vol 7 / No. 2 / Issue 14 / July-Dec, 2012 / 33-35

scholarly journals Clinical manifestations of hypothyroidism in residents of western region of Nepal: A case control study

2013 ◽  
Vol 2 (1) ◽  
pp. 62-65 ◽  
Author(s):  
B Paudel ◽  
K Paudel ◽  
TL Upadhaya
Keyword(s):  
Clinical Manifestations ◽  
College Teaching ◽  
Signs And Symptoms ◽  
Facial Oedema ◽  
Western Region ◽  
Medical Sciences ◽  
Medical College ◽  
Laboratory Confirmation ◽  
The Difference ◽  
Symptoms And Signs

Background: This study was designed for the evaluation of the difference in the common signs and symptoms of hypothyroidism in our population from already available literature. Methods: In this study we have compared the symptoms and signs of hypothyroid and euthyroid patients visiting to Gandaki Medical College Teaching Hospital (GMCTH) from April 2011 to October 2011. We compared the 18 common signs and symptoms of hypothyroidism in our patients and analyzed by SPSS software. Results: Of the 2483 patients visiting to the GMCTH, 665 patients were included in the study and were examined. After the laboratory investigations, 98 were identified as the cases of hypothyroidism, the rest were declared as euthyroid and selected as controls. Lethargy, cold intolerance, constipation and paresthesia were the commonest symptom while facial oedema and bradycardia were the most prevalent sign in our population. Conclusions: The most common signs and symptoms of hypothyroidism in the western region of Nepal (that is one of the iodine deficient areas in Nepal) were different from other studies. It seems that strong clinical suspicion on the basis of symptoms and signs elicited by physicians and laboratory confirmation are the only reliable methods for diagnosis of hypothyroidism. Nepal Journal of Medical Sciences | Volume 02 | Number 01 | Jan-Jun 2013 | Page 62-65 DOI: http://dx.doi.org/10.3126/njms.v2i1.7655

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