Subjects -> MEDICAL SCIENCES (Total: 8642 journals)
    - ALLERGOLOGY AND IMMUNOLOGY (218 journals)
    - ANAESTHESIOLOGY (120 journals)
    - CARDIOVASCULAR DISEASES (338 journals)
    - CHIROPRACTIC, HOMEOPATHY, OSTEOPATHY (21 journals)
    - COMMUNICABLE DISEASES, EPIDEMIOLOGY (234 journals)
    - DENTISTRY (293 journals)
    - DERMATOLOGY AND VENEREOLOGY (164 journals)
    - EMERGENCY AND INTENSIVE CRITICAL CARE (121 journals)
    - ENDOCRINOLOGY (150 journals)
    - FORENSIC SCIENCES (42 journals)
    - GASTROENTEROLOGY AND HEPATOLOGY (188 journals)
    - GERONTOLOGY AND GERIATRICS (138 journals)
    - HEMATOLOGY (157 journals)
    - HYPNOSIS (4 journals)
    - INTERNAL MEDICINE (174 journals)
    - LABORATORY AND EXPERIMENTAL MEDICINE (99 journals)
    - MEDICAL GENETICS (58 journals)
    - MEDICAL SCIENCES (2392 journals)
    - NURSES AND NURSING (364 journals)
    - OBSTETRICS AND GYNECOLOGY (207 journals)
    - ONCOLOGY (384 journals)
    - OPHTHALMOLOGY AND OPTOMETRY (140 journals)
    - ORTHOPEDICS AND TRAUMATOLOGY (170 journals)
    - OTORHINOLARYNGOLOGY (83 journals)
    - PATHOLOGY (100 journals)
    - PEDIATRICS (275 journals)
    - PHYSICAL MEDICINE AND REHABILITATION (158 journals)
    - PSYCHIATRY AND NEUROLOGY (833 journals)
    - RADIOLOGY AND NUCLEAR MEDICINE (192 journals)
    - RESPIRATORY DISEASES (104 journals)
    - RHEUMATOLOGY (79 journals)
    - SPORTS MEDICINE (81 journals)
    - SURGERY (406 journals)
    - UROLOGY, NEPHROLOGY AND ANDROLOGY (155 journals)

MEDICAL SCIENCES (2392 journals)            First | 3 4 5 6 7 8 9 10 | Last

Showing 1201 - 1400 of 3562 Journals sorted alphabetically
Journal of Foot and Ankle Research     Open Access   (Followers: 5)
Journal of Forensic Science and Research     Open Access   (Followers: 2)
Journal of Gandaki Medical College-Nepal     Open Access  
Journal of Generic Medicines     Hybrid Journal   (Followers: 2)
Journal of Geographical Sciences     Hybrid Journal   (Followers: 1)
Journal of Global Antimicrobial Resistance     Hybrid Journal   (Followers: 3)
Journal of Hand Therapy     Hybrid Journal   (Followers: 18)
Journal of Head & Neck Physicians and Surgeons     Open Access   (Followers: 2)
Journal of Health & Medical Informatics     Open Access   (Followers: 61)
Journal of Health and Biological Sciences     Open Access   (Followers: 1)
Journal of Health Design     Open Access   (Followers: 1)
Journal of Health Economics and Outcomes Research     Open Access   (Followers: 1)
Journal of Health Promotion and Behavior     Open Access  
Journal of Health Research and Reviews     Open Access  
Journal of Health Science and Medical Research     Open Access  
Journal of Health Science Research     Open Access  
Journal of Health Sciences     Open Access   (Followers: 1)
Journal of health sciences     Open Access  
Journal of Health Sciences / Sağlık Bilimleri Dergisi     Open Access  
Journal of Health Sciences and Medicine     Open Access  
Journal of Health Sciences and Medicine     Open Access   (Followers: 2)
Journal of Health Sciences and Surveillance System     Open Access  
Journal of Health Sciences Scholarship     Open Access  
Journal of Health Specialties     Open Access  
Journal of Health Studies     Open Access  
Journal of Healthcare Informatics Research     Hybrid Journal   (Followers: 1)
Journal of Heavy Metal Toxicity and Diseases     Open Access  
Journal of Helminthology     Hybrid Journal   (Followers: 2)
Journal of Herbs Spices & Medicinal Plants     Hybrid Journal  
Journal of HIV for Clinical and Scientific Research     Open Access   (Followers: 2)
Journal of Hospital Medicine     Hybrid Journal   (Followers: 10)
Journal of Huazhong University of Science and Technology [Medical Sciences]     Hybrid Journal  
Journal of Human Hypertension     Hybrid Journal   (Followers: 3)
Journal of Human Rhythm     Open Access  
Journal of Human Transcriptome     Open Access  
Journal of Ideas in Health     Open Access  
Journal of Inflammation     Open Access   (Followers: 2)
Journal of Inflammation Research     Open Access  
Journal of Injury and Violence Research     Open Access   (Followers: 7)
Journal of Innovation in Health Informatics     Open Access   (Followers: 17)
Journal of Institute of Medicine     Open Access  
Journal of Insulin Resistance     Open Access   (Followers: 1)
Journal of Interactional Research in Communication Disorders     Hybrid Journal   (Followers: 5)
Journal of Interferon & Cytokine Research     Hybrid Journal   (Followers: 3)
Journal of International Medical Research     Open Access   (Followers: 4)
Journal of Interventional Medicine     Open Access   (Followers: 1)
Journal of Investigative Medicine     Hybrid Journal   (Followers: 3)
Journal of Islamabad Medical & Dental College     Open Access   (Followers: 1)
Journal of Istanbul Faculty of Medicine     Open Access  
Journal of Karnali Academy of Health Sciences     Open Access   (Followers: 1)
Journal of Kathmandu Medical College     Open Access   (Followers: 1)
Journal of King Abdulaziz University : Medical Sciences     Open Access   (Followers: 2)
Journal of Laboratory Medicine     Hybrid Journal   (Followers: 27)
Journal of Laryngology and Voice     Open Access   (Followers: 11)
Journal of Lasers in Medical Sciences     Open Access  
Journal of Law, Medicine & Ethics     Hybrid Journal   (Followers: 24)
Journal of Legal Medicine     Hybrid Journal   (Followers: 7)
Journal of Limb Lengthening & Reconstruction     Open Access  
Journal of Lumbini Medical College     Open Access   (Followers: 1)
Journal of Mahatma Gandhi Institute of Medical Sciences     Open Access  
Journal of Manipulative and Physiological Therapeutics     Hybrid Journal   (Followers: 6)
Journal of Manmohan Memorial Institute of Health Sciences     Open Access   (Followers: 1)
Journal of Marine Medical Society     Open Access  
Journal of Materials Science : Materials in Medicine     Hybrid Journal   (Followers: 4)
Journal of Maternal and Child Health     Open Access  
Journal of Mechanics in Medicine and Biology     Hybrid Journal  
Journal of Medical and Biological Engineering     Hybrid Journal   (Followers: 4)
Journal of Medical and Biomedical Sciences     Open Access   (Followers: 2)
Journal of Medical Case Reports     Open Access   (Followers: 1)
Journal of Medical Cases     Open Access   (Followers: 6)
Journal of Medical Colleges of PLA     Full-text available via subscription  
Journal of Medical Disorders     Open Access  
Journal of Medical Economics     Hybrid Journal   (Followers: 8)
Journal of Medical Education and Curricular Development     Open Access   (Followers: 6)
Journal of Medical Ethics     Partially Free   (Followers: 25)
Journal of Medical Ethics and History of Medicine     Open Access   (Followers: 15)
Journal of Medical Humanities     Hybrid Journal   (Followers: 21)
Journal of Medical Hypotheses and Ideas     Open Access  
Journal of Medical Imaging and Health Informatics     Full-text available via subscription   (Followers: 1)
Journal of Medical Investigation and Practice     Open Access  
Journal of Medical Laboratory and Diagnosis     Open Access  
Journal of Medical Law and Ethics     Full-text available via subscription   (Followers: 15)
Journal of Medical Microbiology     Full-text available via subscription   (Followers: 6)
Journal of Medical Sciences     Open Access  
Journal of Medical Sciences     Open Access  
Journal of Medical Screening     Hybrid Journal   (Followers: 6)
Journal of Medical Signals and Sensors     Open Access   (Followers: 3)
Journal of Medical Society     Open Access  
Journal of Medical Systems     Hybrid Journal  
Journal of Medical Toxicology     Hybrid Journal   (Followers: 6)
Journal of Medical Ultrasound     Open Access   (Followers: 2)
Journal of Medicinal Botany     Open Access  
Journal of Medicinal Chemistry     Hybrid Journal   (Followers: 201)
Journal of Medicine     Open Access   (Followers: 1)
Journal of Medicine and Biomedical Research     Open Access   (Followers: 1)
Journal of Medicine and Philosophy     Hybrid Journal   (Followers: 8)
Journal of Medicine and the Person     Hybrid Journal  
Journal of Medicine in Scientific Research     Open Access  
Journal of Medicine in the Tropics     Open Access  
Journal of Medicine Research and Development     Open Access   (Followers: 3)
Journal of Medicine, Physiology and Biophysics     Open Access   (Followers: 5)
Journal of Medicines Development Sciences     Open Access   (Followers: 1)
Journal of Metabolomics & Systems Biology     Open Access   (Followers: 1)
Journal of Mind and Medical Sciences     Open Access   (Followers: 1)
Journal of Molecular Medicine     Hybrid Journal   (Followers: 11)
Journal of Movement Disorders     Open Access   (Followers: 2)
Journal of Muscle Research and Cell Motility     Hybrid Journal   (Followers: 1)
Journal of Nanotechnology in Engineering and Medicine     Full-text available via subscription   (Followers: 6)
Journal of Nanotheranostics     Open Access   (Followers: 1)
Journal of Natural Medicines     Hybrid Journal  
Journal of Natural Science, Biology and Medicine     Open Access   (Followers: 3)
Journal of Nature and Science of Medicine     Open Access   (Followers: 4)
Journal of Negative and No Positive Results     Open Access  
Journal of Nepalgunj Medical College     Open Access  
Journal of Neurocritical Care     Open Access  
Journal of Neurodegenerative Diseases     Open Access   (Followers: 2)
Journal of Neurorestoratology     Open Access  
Journal of Neuroscience and Neurological Disorders     Open Access  
Journal of Nobel Medical College     Open Access  
Journal of Obesity and Bariatrics     Open Access   (Followers: 1)
Journal of Occupational Health     Open Access  
Journal of Occupational Therapy Education     Open Access   (Followers: 10)
Journal of Ocular Biology, Diseases, and Informatics     Hybrid Journal  
Journal of Oral Biology and Craniofacial Research     Full-text available via subscription  
Journal of Oral Health and Craniofacial Science     Open Access  
Journal of Orofacial Sciences     Open Access  
Journal of Otorhinolaryngology, Hearing and Balance Medicine     Open Access   (Followers: 1)
Journal of Ovarian Research     Open Access  
Journal of Ozone Therapy     Open Access  
Journal of Palliative Medicine     Hybrid Journal   (Followers: 47)
Journal of Paramedical Sciences & Rehabilitation     Open Access  
Journal of Parkinsonism and Restless Legs Syndrome     Open Access   (Followers: 2)
Journal of Parkinson’s Disease and Alzheimer’s Disease     Open Access   (Followers: 1)
Journal of Participatory Medicine     Open Access  
Journal of Patan Academy of Health Sciences     Open Access  
Journal of Pathogens     Open Access   (Followers: 1)
Journal of Patient Experience     Open Access  
Journal of Patient Safety and Risk Management     Hybrid Journal   (Followers: 2)
Journal of Patient-Centered Research and Reviews     Open Access  
Journal of Patient-Reported Outcomes     Open Access  
Journal of Periodontal Research     Hybrid Journal  
Journal of Personalized Medicine     Open Access   (Followers: 3)
Journal of Pest Science     Hybrid Journal   (Followers: 1)
Journal of Pharmaceutical Policy and Practice     Open Access   (Followers: 4)
Journal of Physiobiochemical Metabolism     Hybrid Journal   (Followers: 2)
Journal of Physiology-Paris     Hybrid Journal   (Followers: 2)
Journal of Pioneering Medical Sciences     Open Access  
Journal of Postgraduate Medicine     Open Access  
Journal of Pregnancy     Open Access   (Followers: 4)
Journal of Prevention & Intervention Community     Hybrid Journal   (Followers: 6)
Journal of Preventive Medicine and Public Health     Open Access  
Journal of Primary Prevention     Hybrid Journal   (Followers: 7)
Journal of Prosthodontic Research     Full-text available via subscription   (Followers: 1)
Journal of Prosthodontics     Hybrid Journal   (Followers: 2)
Journal of Receptor, Ligand and Channel Research     Open Access  
Journal of Regenerative Medicine     Partially Free   (Followers: 4)
Journal of Research in Medical Sciences     Open Access   (Followers: 2)
Journal of Science and Applications : Biomedicine     Open Access   (Followers: 1)
Journal of Science and Technology (Ghana)     Open Access   (Followers: 3)
Journal of Scientific Innovation in Medicine     Open Access  
Journal of Scientific Perspectives     Open Access   (Followers: 1)
Journal of Sensory Studies     Hybrid Journal   (Followers: 4)
Journal of Shaheed Suhrawardy Medical College     Open Access  
Journal of Shoulder and Elbow Arthroplasty     Open Access  
Journal of Sleep Disorders : Treatment & Care     Hybrid Journal   (Followers: 10)
Journal of South American Earth Sciences     Hybrid Journal   (Followers: 5)
Journal of Spinal Cord Medicine     Hybrid Journal   (Followers: 4)
Journal of Spinal Disorders & Techniques     Hybrid Journal   (Followers: 2)
Journal of Sports Medicine and Allied Health Sciences : Official Journal of the Ohio Athletic Trainers Association     Open Access   (Followers: 1)
Journal of Stem Cell Therapy and Transplantation     Open Access   (Followers: 1)
Journal of Stomal Therapy Australia     Full-text available via subscription  
Journal of Strength and Conditioning Research     Hybrid Journal   (Followers: 75)
Journal of Substance Use     Hybrid Journal   (Followers: 14)
Journal of Surgical Academia     Open Access   (Followers: 1)
Journal of Surgical and Clinical Research     Open Access  
Journal of Surgical Case Reports     Open Access  
Journal of Surgical Education     Full-text available via subscription   (Followers: 3)
Journal of Surgical Technique and Case Report     Open Access  
Journal of Systemic Therapies     Full-text available via subscription   (Followers: 3)
Journal of Taibah University Medical Sciences     Open Access  
Journal of Telemedicine and Telecare     Hybrid Journal   (Followers: 12)
Journal of The Academy of Clinical Microbiologists     Open Access  
Journal of the American Association for Laboratory Animal Science     Full-text available via subscription   (Followers: 7)
Journal of the American College of Certified Wound Specialists     Hybrid Journal   (Followers: 2)
Journal of the American College of Clinical Wound Specialists     Hybrid Journal   (Followers: 2)
Journal of the American Medical Directors Association     Hybrid Journal   (Followers: 5)
Journal of the American Medical Informatics Association : JAMIA     Hybrid Journal   (Followers: 35)
Journal of the American Podiatric Medical Association     Full-text available via subscription   (Followers: 7)
Journal of the Anatomical Society of India     Full-text available via subscription  
Journal of the Anus, Rectum and Colon     Open Access  
Journal of The Arab Society for Medical Research     Open Access  
Journal of the Australasian College of Nutritional and Environmental Medicine     Full-text available via subscription  
Journal of the Australasian Society of Aerospace Medicine     Open Access   (Followers: 1)
Journal of the Ceylon College of Physicians     Open Access  
Journal of the Chinese Medical Association     Open Access   (Followers: 2)
Journal of the College of Community Physicians of Sri Lanka     Open Access  
Journal of The Egyptian Public Health Association     Open Access   (Followers: 1)
Journal of the Formosan Medical Association     Open Access   (Followers: 2)
Journal of the Georgia Public Health Association     Open Access   (Followers: 3)
Journal of the Ghana Science Association     Full-text available via subscription   (Followers: 3)

  First | 3 4 5 6 7 8 9 10 | Last

Similar Journals
Journal Cover
Journal of Nobel Medical College
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2091-2331 - ISSN (Online) 2091-234X
Published by Nepal Journals Online Homepage  [129 journals]
  • Stem Cell Therapy: Promises versus Challenges

    • Authors: Arambam Giridhari Singh
      Pages: 1 - 5
      Abstract: Not available.Journal of Nobel Medical CollegeVolume 7, Number 1, Issue 12, January-June 2018, I-iii
      PubDate: 2018-08-22
      DOI: 10.3126/jonmc.v7i1.20834
      Issue No: Vol. 7, No. 1 (2018)
       
  • Does bronchoscopy help in resolving the etiology of Non-resolving
           Pneumonia' Experience in a Tertiary Care Center

    • Authors: Ram Hari Ghimire
      Pages: 1 - 5
      Abstract:  Background : Normal resolution time of pneumonia is variable. Non-resolving pneumonia is a challenging clinical problem. Etiological, patient and treatment-related factors affect outcomes. Bronchoscopy is initial diagnostic technique in evaluating these patients. The study explored the utility of bronchoscopy in diagnosing of non-resolving pneumonia.Material and Methods: Records of the patients diagnosed with non-resolving pneumonia who underwent bronchoscopy from 20th January 2017 to 19th January 2018 were analysed. The data analyzed included demographic characteristics, clinical profile, bronchoscopic findings, chest imaging, and hospital discharge status. Non-resolving pneumonia was defined as focal infiltrates with symptoms of acute pulmonary infection and lack of clinical and radiological improvement within 12 weeks despite a minimum of 10 days treatment. For analysis descriptive statistics like mean and percentage and tabular and graphical presentation were made.Results: Forty-five patients had non resolving Pneumonia. A total 75.0% were males with age range of 25 to 85 years and commons symptom were cough with fever (75.0%) followed by hemoptysis, chest pain, and breathlessness. Bronchoscopically multiple ulcerated lesions, inflamed tracheobronchial tree with mucopurulent secretions and mass lesions were common. Etiologically 66.6 % patients had TB, followed by lung cancer, bronchiectasis and pneumonia.Conclusion: Bronchoscopy has better utility and is the diagnostic modality of choice in establishing etiology of non-resolving pneumonia.  Journal of Nobel Medical CollegeVolume 7, Number 1, Issue 12, January-June 2018, page : 1-5                                            
      PubDate: 2018-08-22
      DOI: 10.3126/jonmc.v7i1.20837
      Issue No: Vol. 7, No. 1 (2018)
       
  • Spectrum of Urothelial lesions in Cystoscopic biopsies: A
           Histopathological Perspective

    • Authors: Nirajan Mainali, Prabesh Chaudhary, Niraj Nepal, Jit Shrestha
      Pages: 6 - 10
      Abstract:  Background: Urinary Bladder lesions are one of the most common presenting lesions in the Outpatient department. On the other hand neoplastic conditions of the urinary bladder are the major cause of morbidity and mortality. Bladder carcinoma is the 7th most common carcinoma worldwide and is the major cause of morbidity and mortality.Material & Methods: All the cystoscopic biopsy received in the Department of Pathology at Nobel medical college and teaching hospital from August 1st 2016 to July 31st 2017 was included in the study. Received cystoscopic biopsies were processed and classified as per 2004 WHO/ISUP classification of urothelial tumors Patients were also categorized according to the age and sex to find out the prevalence of urothelial lesions on them.Results: Out of the 78 patients 54 were males and 24 were females. Very few (n=15, 19.23%) cases of non neoplastic lesions were biopsied. Low grade urothelial carcinoma was the most common diagnosis in the patients which accounts for 49.2 % (n=31) of the total neoplastic conditions.Conclusion: Low grade urothelial carcinoma was the most common lesion encountered with the peak age range of 61-70 years.Journal of Nobel Medical College Volume 7, Number 1, Issue 12, January-June 2018, Page: 6-10
      PubDate: 2018-08-22
      DOI: 10.3126/jonmc.v7i1.20840
      Issue No: Vol. 7, No. 1 (2018)
       
  • Self-care activities among patients with diabetes attending a tertiary
           care hospital in Biratnagar, Nepal

    • Authors: Dejina Thapa
      Pages: 11 - 17
      Abstract:  Background: Diabetes mellitus is a complex disease and has emerged the worldwide. Self care management is very important to control and prevent from complications. Although it can be preventable by adopting the healthy numerous skills and health education. Method and Materials: A cross-sectional study of 141 patients with >1-year duration of type 2 diabetes mellitus (DM) were interviewed at Nobel Medical College Teaching Hospital using a non-probability sampling technique to select the sample between October 2017 -January 2018 to respond the diabetic self care questionnaire. For the analysis the descriptive statistics was used. T test and anova were used for the association between the variables. Result: A total of 141 diabetic were participated in the study, in which 50.4% were male and 49.6% female. Among the respondents 27% were in the age group below 50 years, 50.4% were illiterate, 42.6 % were overweight and most of the respondents had duration of disease between 1 to 5 years. The mostly performed self care activities were foot care whereas least was blood sugar monitoring. The mean score of self care behavior of respondents was 53.56 ± 4.48. Among them 50.4% of respondents had self care behavior below 69.5% i.e. had poor practice and 78% scored 69.5% and above 49.6% i.e. had good practice. The obtained results showed that there is significant association of self care behavior with age, education level, occupation and age at diagnosis but not with sex.Conclusion: The scenario of self care activities in some areas were found not up to the mark. So health personnel should provide education to the people with diabetes as it has significant benefit with regard to have better quality of life and prevention of complications.Journal of Nobel Medical CollegeVolume 7, Number 1, Issue 12, January-June 2018, Page: 11-17 
      PubDate: 2018-08-22
      DOI: 10.3126/jonmc.v7i1.20841
      Issue No: Vol. 7, No. 1 (2018)
       
  • Trial of Vaginal Birth After Caesarean (VBAC): Sharing Experience From a
           Tertiary Care Center of Eastern Nepal

    • Authors: Sita Pokhrel Ghimire, Ashima Ghimire, Aruna Pokharel, Sabina Lamichhane, Mahanand Kumar
      Pages: 18 - 25
      Abstract: Background: Rising rates of cesarean section is a matter of great concern and trial of labor in previous cesarean section women is an attractive alternative. Vaginal Birth After Caesarean (VBAC) may be one of the strategy developed to control the rising rate of cesarean deliveries in our country. Analyzing outcome of previous caesarean pregnancies will provide an insight for reducing the caesarean rates and formulating protocols and policies for trial of labor. The purpose of this study is to evaluate the pregnancy outcome in previous caesarean section women with VBAC trial with the hope of avoiding unnecessary repeat caesarean section rates. Methodology: It is a cross-sectional observational institute based study carried out in Nobel Medical College Teaching Hospital from 15th March 2017 to 14th March 2018 after the approval from Institutional Review Committee (IRC). This consists of patient with past history of cesarean section, who delivered in NMCTH during the study period and meeting the Royal College of Obstetrics and Gynecology (RCOG) inclusion criteria for VBAC. Feto-maternal outcomes were analysed. Results: There were 1225 previous cesarean cases, among them, we did VBAC trial in 135(11%) patients, 99 (73.33%) had successful vaginal delivery whereas 36(26.66%) could not do the same after labor trial. Feto-maternal outcome was better in VBAC patients than cesarean group.No maternal and neonatal mortality occurred. Conclusion: In the country like ours where rate of caesarean section is increasing alarmingly we have to try VBAC in appropriate group of patients. National policy and guidelines are necessary after large multicenter prospective studies. Journal of Nobel Medical College Volume 7, Number 1, Issue 12, January-June 2018, Page: 18-25
      PubDate: 2018-08-22
      DOI: 10.3126/jonmc.v7i1.20842
      Issue No: Vol. 7, No. 1 (2018)
       
  • Effectiveness between two tooth brushing methods on removing dental plaque

    • Authors: Dhirendra Kumar Giri
      Pages: 26 - 29
      Abstract: Background: Biofilm usually is a group of micro-organisms in which bacterial cells adhere to each other. It may form on a living or non-living surfaces within a self-produced matrix of glycocalx. Recently, plaque has been identified as a biofilm, and its structure, microbiology and patho-physiology have been described. The effectiveness between modified bass technique and normal brushing technique has been compared in this study. Material & Methods: Sixty auxiliary workers working in Nobel Medical College and Teaching Hospital were selected using systematic random sampling technique. Plaque accumulation was assessed on the index teeth using Silness and Loe plaque index. Both normal tooth brushing practices and modified Bass technique were asked to perform using a standard tooth brush and fluoridated dentifrices without label was used for all the subjects after the morning breakfast. The difference of the PI scores recorded in different examinations was assessed using ANCOVA test. Results: The mean PI score was found similar for normal brushing and modified bass technique at the base line examination (P<0.05). The modified Bass technique was more effective in removing plaque than normal tooth brushing (P<0.05) Conclusion: Tooth brushing is the most common, easy and effective method of plaque control. At the same time tooth brushing with correct technique reduces plaque effectively and maintains the integrity of tooth and surrounding periodontium. Modified Bass technique plays a vital role in prevention of plaque control, dental caries and periodontal disease. Journal of Nobel Medical College  Volume 7, Number 1, Issue 12, January-June 2018, Page: 26-29 
      PubDate: 2018-08-22
      DOI: 10.3126/jonmc.v7i1.20843
      Issue No: Vol. 7, No. 1 (2018)
       
  • Histopathological Study of Ovarian Lump and Serum Tumor Marker Ca 125
           estimation as a Screening Tool

    • Authors: Manish Kumar Das, Sita Ghimire
      Pages: 30 - 36
      Abstract: Background: Ovarian tumor is the fourth commonest cancer in female in Nepal. About 80% is benign and 20% of these tumors are malignant. Due to its complex nature, vagueness and non-specificity of the symptoms it produces, the ovarian neoplasm can mislead both the doctor and patients. Hence this study was undertaken with aims & objectives to study the morphology of ovarian specimens as well as estimate serum CA125 as screening tool. Material and Methods: A study of over one year comprised of 75 specimens of ovary diagnosed in the Department of Pathology, Nobel medical college and teaching hospital, Biratnagar. After thorough gross examination and preparation of H&E stained slides the lesion of ovary were classified as per WHO classification. Also, preoperative blood samples were obtained from patients for estimation of serum CA125 level. Blood samples was also drawn from 20 healthy females in reproductive age group who acted as controls. Results: Of the 75 cases of ovarian mass, based on histology 75% were benign, and 25% were malignant. Surface epithelial tumors were the commonest (68%) of all ovarian tumor, followed by germ cell tumors (13%), sex cord–stromal tumors (6%). Serous Cystadenoma (29%) was the commonest benign tumor and serous cystadenocarcinoma (9%) commonest malignant neoplasm.  CA125 levels was raised in epithelial ovarian cancers. Maximum rise was seen in serous cystadenocarcinoma. Exceptionally a small percentage of epithelial cancer showed normal level (false negative). Also, few benign tumors, non-epithelial tumors and even non-neoplastic lesions showed false positive rise in CA125 (false positive). Conclusion: Accurate histopathological evaluation of ovarian specimen is necessary both in terms of therapeutic intervention as well as prognosis.  CA125 is an important screening tool for detection of epithelial ovarian cancers. Journal of Nobel Medical College Volume 7, Number 1, Issue 12, January-June 2018, Page: 30-36
      PubDate: 2018-08-22
      DOI: 10.3126/jonmc.v7i1.20844
      Issue No: Vol. 7, No. 1 (2018)
       
  • School Screening For Scoliosis in the Eastern Part of Nepal

    • Authors: Prakash Sitoula
      Pages: 37 - 40
      Abstract:  Background: Scoliosis is common in children of school going age particularly in the adolescents. This condition is asymptomatic and often children present in the advanced stage of this condition with large deformity. Therefore, early detection avoids the problems associated with large curves. Material and Methods: Retrospective analysis of data obtained from screening of eight schools in the eastern part of Nepal between April 2016 and May 2017 was done; Morang district (5 schools) and Sunsari district (3 schools). A consultant Orthopaedic Surgeon, a trained Physiotherapist and an Orthopaedic nurse conducted school screening for scoliosis using the Adam’s forward bend test in the Morang district while the latter two were involved in screening in the Sunsari district. The data collected included demographics, number of positive cases and treatment prescribed. Results: 5505 children {2840 boys (51.6%) and 2665 girls (48.4%)} were screened for scoliosis in this period. Majority of patients were from the Morang district (86.2%). All six children (five girls and one boy) who were found to have positive Adam’s forward test had adolescent idiopathic scoliosis. One child had a curve of 35 degrees and bracing was started. Rest of the children had curves less than 25 degrees and were kept on regular follow up. The referral rate was 1.1 per 1000 children screened for scoliosis. Conclusion: Though the overall prevalence of scoliosis appears to be less in our population, school screening is still important for two main reasons. This may be the only way to detect cases early so that treatment can be instituted before deformity becomes large. Secondly, this activity would also spread awareness about this little known condition in the community. Journal of Nobel Medical College Volume 7, Number 1, Issue 12, January-June 2018, Page: 37-40
      PubDate: 2018-08-22
      DOI: 10.3126/jonmc.v7i1.20845
      Issue No: Vol. 7, No. 1 (2018)
       
  • Bacteriological analysis of bile in laparoscopic cholecystectomy patients

    • Authors: Ashok Koirala, Dipendra Thakur, Sunit Agrawal, Abhilasha Sharma
      Pages: 41 - 44
      Abstract: Background: Laparoscopic cholecystectomy is commonly performed operation for symptomatic gall stone disease. The presence of stones within the biliary system is associated with the bacterial colonization of the bile. The aim of this study is to evaluate the bacteriological profile of the bile and to determine appropriate antibiotics for preoperative prophylaxis in laparoscopic cholecystectomy patients. Material & Methods: A prospective study was carried out in NMCTH, Biratnagar from June2017- May 2018. A total of 100 patients admitted through OPD of our hospital for laparoscopic cholecystectomy were studied. About 5ml of bile aspirated from gall bladder was transported to laboratory in sterile syringe for culture and sensitivity. All age groups and both sex were included. Results: Bile culture was positive in 16 patients. The most common organisms isolated from bile was Escherichia coli (50%) followed by Klebsiella species (25%). Histopathological report of all 16 cases revealed chronic cholecystitis. Wound infection was seen in 5% cases and all were bile culture positive. Most sensitive drug was found to be aminoglycoside group followed by piperacilin and tazobactam. Conclusion: Most common organism isolated from bile culture was Escherichia coli. Aminoglycoside group of drugs was found to be more promising compared to other group of drugs. It can be considered as a first line drug for preoperative prophylaxis for patients undergoing laparoscopic cholecystectomy for symptomatic cholelithiasis. Journal of Nobel Medical College Volume 7, Number 1, Issue 12, January-June 2018, Page: 41-44
      PubDate: 2018-08-22
      DOI: 10.3126/jonmc.v7i1.20846
      Issue No: Vol. 7, No. 1 (2018)
       
  • The Impact of acne on the quality of life of the patients attending
           dermatology outpatient department at Nobel Medical College Teaching
           Hospital

    • Authors: Manish Pradhan, Chandra Bhal Jha, Dipa Rai
      Pages: 45 - 49
      Abstract: Background: Acne is a very common distressing skin condition that affects multiple aspects of quality of life of an individual. It has been illustrated that acne have tremendous effect on an individual’s self-image and impacts his or her quality of life. The extent of burden of the disease experienced by the patients seems to be underestimated by the whole medical fraternity. The aim of the study is to determine the health related quality of life impairment in acne patients using CADI and to identify various variables that increase the patients’ susceptibility for quality of life impairment. Subjects and Methods: This is a hospital based, cross sectional study conducted in the Department of Dermatology, Nobel Medical College Teaching Hospital from Jan 2017 to December 2017.A total of 202 acne patients were evaluated with CADI. Clinical characteristics were recorded after history and clinical examination. Results: Out of total 202 patients enrolled, 56.4% of patient scored a CADI score of (5-9) indicating moderate quality of life impairment and 15.3% of patient scored a CADI score of 10 or more indicating severe quality of life impairment. The mean CADI score was 6.82 ± 2.75. There was positive correlation between the CADI score and impact on quality of life with grade of acne, which was statistically significant (p<0.001). Conclusion: Acne is a common skin disease with tremendous adverse effect on the patient’s health related quality of life. Patients are affected both physically and mentally with this condition. Journal of Nobel Medical College Volume 7, Number 1, Issue 12, January-June 2018, Page: 45-49 
      PubDate: 2018-08-22
      DOI: 10.3126/jonmc.v7i1.20847
      Issue No: Vol. 7, No. 1 (2018)
       
  • Prevalence and Associated Risk Factors for Diabetic Retinopathy among
           in-patients Diagnosed with Diabetes Mellitus: A Retrospective Study
           Conducted in Nobel Medical College and Teaching Hospital, Biratnagar

    • Authors: Bishwa Nath Adhikari, Pramod Sharma Gautam, Binod Bekoju, Sadhana Basnet, Himlal Bhandari
      Pages: 50 - 55
      Abstract: Background: Diabetes mellitus (DM) being disease of modern world occurrence of Diabetic retinopathy (DR) has become more frequent. Knowledge on the prevalence and associated risk factors of diabetic retinopathy helps to detect the disease in its early course. The objective of the study was to establish the prevalence and to analyze the associated risk factors and help to screen the disease as early as possible so as to prevent and /or to delay the onset as well as progression of DR. Materials and Methods: A hospital based retrospective study conducted among 213 in-patients of Nobel Medical College, Biratnagar diagnosed with DM. Result: The prevalence of diabetic retinopathy was 32.39% and prevalence of mild NPDR, moderate NPDR, severe NPDR, very severe NPDR, proliferative diabetic retinopathy and clinically significant macular edema was 12.7%, 8.9%, 6.1%, 5%, 1.9% & 2.3% respectively. There was statistically significant relation of diabetic retinopathy with duration of diabetes (p value 0.004) and the mean duration was 8.704 years. Conclusions: The prevalence of diabetic retinopathy among in-patients was 32.39%. Though there was no significant relation with occurrence of DR with type of diabetes, age, sex, alcoholism, smoking and drug intake history, the duration of diabetes and hyperlipidemia, poor hyperglycemic control were highly significantly associated with DR while high BP showed marginally insignificant relation with the same.   Journal of Nobel Medical College Volume 7, Number 1, Issue 12, January-June 2018, Page: 50-55 
      PubDate: 2018-08-22
      DOI: 10.3126/jonmc.v7i1.20848
      Issue No: Vol. 7, No. 1 (2018)
       
  • A Randomized Control Trial for conservative management of parotid abscess
           in children

    • Authors: Meenakshi Basnet, Rajkumar Bedajit, Bijay Neupane, Bibek Ghimire
      Pages: 56 - 59
      Abstract: Background: The optimal conservative treatment protocol of parotid abscess in children is evaluated.Material and Methods: This is a randomized, prospective, cross-sectional study conducted between November 2013 and June 2017 in Nobel Medical College and Teaching Hospital. Thirty children (below 14 years age) suffering from parotid abscess diagnosed by ultrasonography were included in this study. Recurrent parotid abscess cases were excluded. The children were divided into 2 groups by computer assisted randomization into15 patients each. Group A were treated with intravenous Clindamycin while group B were given intravenous Ampicilin + Cloxacillin combination. Results: Five patients of group B did not respond to treatment and were then put on intravenous Clindamycin. Three of these patients responded to treatment but 2 developed multi-lobulated fluctuation and required incision + drainage. Remaining 10 patients in group B and all patients in Group A responded to medical treatment without recurrence. Five patients in group B developed severe diarrhea during antibiotic treatment but none of the patients in group A had this complaint. No patient developed any complications like parapharyngeal abscess or septicemia. Conclusion: Parotid abscess in children can be managed conservatively with intravenous Clindamycin without the need for incision and drainage. Journal of Nobel Medical College Volume 7, Number 1, Issue 12, January-June 2018, Page: 56-59 
      PubDate: 2018-08-22
      DOI: 10.3126/jonmc.v7i1.20849
      Issue No: Vol. 7, No. 1 (2018)
       
  • Oral Cancer: Awareness Among People of Biratnagar

    • Authors: Durga Devi Chaulagain, Kamal Prasad Parajuli, Bhumika Khatiwada
      Pages: 60 - 64
      Abstract:  Background: Increased use of tobacco and tobacco products result into increment of patients with oral cancer. Many people are still unaware of the consequences of chewing tobacco. Approximately 19% of participants had adequate knowledge of awareness, large number of participants, i.e., 73% had moderate knowledge of awareness and 8% of the participants had inadequate level of awareness about oral cancer. Methods and materials: Analytical cross-sectional research design was used for the study. Samples were selected by non-probability purposive sampling technique. Structured questionnaire was used to collect data from respondents. Frequencies, mean and standard deviations were used to describe the socio-demographic variables. Independent t-test and one-way ANOVA test were used to find the main difference of awareness scores by socio-demographic variables. Results: Among 90 participants, 18% had adequate level of awareness, 73% had moderate and 7.8% of participants had inadequate level of awareness regarding oral cancer. Conclusion: The study showed that awareness regarding oral cancer among the people of Biratnagar Metropolitan City is moderate. The study emphasizes that the effects must be made to make people aware of oral cancer.Journal of Nobel Medical CollegeVolume 7, Number 1, Issue 12, January-June 2018, Page: 60-64
      PubDate: 2018-08-22
      DOI: 10.3126/jonmc.v7i1.20850
      Issue No: Vol. 7, No. 1 (2018)
       
  • Tubercular Prostatitis: A rare case of Genitourinary Tuberculosis

    • Authors: Sunil Regmi, Bipesh Acharya
      Pages: 65 - 67
      Abstract: Genitourinary tuberculosis is the second most common type of extra-pulmonary tuberculosis after tubercular lymphadenitis. Tuberculosis of the prostate is a relatively rare condition and most cases are diagnosed on histology following prostatectomy or prostatic biopsy. Probably several cases of tubercular prostatitis remain undiagnosed. Therefore it requires a high index of suspicion. Here we report a rare case of tubercular prostatitis in a 49 years old man who presented with features of lower urinary tract symptoms. Journal of Nobel Medical College Volume 7, Number 1, Issue 12, January-June 2018, Page: 65-67 
      PubDate: 2018-08-22
      DOI: 10.3126/jonmc.v7i1.20851
      Issue No: Vol. 7, No. 1 (2018)
       
 
JournalTOCs
School of Mathematical and Computer Sciences
Heriot-Watt University
Edinburgh, EH14 4AS, UK
Email: journaltocs@hw.ac.uk
Tel: +00 44 (0)131 4513762
 


Your IP address: 34.238.190.122
 
Home (Search)
API
About JournalTOCs
News (blog, publications)
JournalTOCs on Twitter   JournalTOCs on Facebook

JournalTOCs © 2009-