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  Subjects -> HEALTH AND SAFETY (Total: 1278 journals)
    - CIVIL DEFENSE (18 journals)
    - DRUG ABUSE AND ALCOHOLISM (87 journals)
    - HEALTH AND SAFETY (509 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (379 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (106 journals)
    - PHYSICAL FITNESS AND HYGIENE (99 journals)
    - WOMEN'S HEALTH (80 journals)

HEALTH AND SAFETY (509 journals)                  1 2 3 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
16 de Abril     Open Access  
A Life in the Day     Hybrid Journal   (Followers: 9)
Acta Informatica Medica     Open Access   (Followers: 1)
Acta Scientiarum. Health Sciences     Open Access  
Adultspan Journal     Hybrid Journal   (Followers: 1)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 10)
Advances in Public Health     Open Access   (Followers: 19)
African Health Sciences     Open Access   (Followers: 2)
African Journal for Physical, Health Education, Recreation and Dance     Full-text available via subscription   (Followers: 6)
African Journal of Health Professions Education     Open Access   (Followers: 4)
Afrimedic Journal     Open Access   (Followers: 2)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 2)
AJOB Primary Research     Partially Free   (Followers: 2)
American Journal of Family Therapy     Hybrid Journal   (Followers: 10)
American Journal of Health Economics     Full-text available via subscription   (Followers: 13)
American Journal of Health Education     Hybrid Journal   (Followers: 25)
American Journal of Health Promotion     Hybrid Journal   (Followers: 24)
American Journal of Health Studies     Full-text available via subscription   (Followers: 8)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 21)
American Journal of Public Health     Full-text available via subscription   (Followers: 174)
American Journal of Public Health Research     Open Access   (Followers: 27)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 2)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 2)
Annali dell'Istituto Superiore di Sanità     Open Access  
Annals of Global Health     Open Access   (Followers: 8)
Annals of Health Law     Open Access   (Followers: 3)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 15)
Applied Biosafety     Hybrid Journal  
Applied Research In Health And Social Sciences : Interface And Interaction     Open Access  
Archives of Medicine and Health Sciences     Open Access   (Followers: 2)
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 8)
Asia Pacific Journal of Health Management     Full-text available via subscription   (Followers: 1)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 8)
Asian Journal of Gambling Issues and Public Health     Open Access   (Followers: 3)
Association of Schools of Allied Health Professions     Full-text available via subscription   (Followers: 5)
Atención Primaria     Open Access   (Followers: 1)
Australasian Journal of Paramedicine     Open Access   (Followers: 2)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 4)
Australian Family Physician     Full-text available via subscription   (Followers: 1)
Australian Indigenous HealthBulletin     Free   (Followers: 6)
Autism & Developmental Language Impairments     Open Access   (Followers: 1)
Behavioral Healthcare     Full-text available via subscription   (Followers: 4)
Best Practices in Mental Health     Full-text available via subscription   (Followers: 6)
Bijzijn     Hybrid Journal   (Followers: 2)
Bijzijn XL     Hybrid Journal   (Followers: 1)
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 9)
BLDE University Journal of Health Sciences     Open Access  
BMC Oral Health     Open Access   (Followers: 5)
BMC Pregnancy and Childbirth     Open Access   (Followers: 19)
BMJ Simulation & Technology Enhanced Learning     Full-text available via subscription   (Followers: 7)
Brazilian Journal of Medicine and Human Health     Open Access  
Buletin Penelitian Kesehatan     Open Access   (Followers: 2)
Buletin Penelitian Sistem Kesehatan     Open Access  
Bulletin of the World Health Organization     Open Access   (Followers: 15)
Cadernos de Educação, Saúde e Fisioterapia     Open Access   (Followers: 1)
Cadernos Saúde Coletiva     Open Access   (Followers: 1)
Canadian Family Physician     Partially Free   (Followers: 11)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 10)
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 1)
Canadian Journal of Public Health     Full-text available via subscription   (Followers: 18)
Case Reports in Women's Health     Open Access   (Followers: 2)
Case Studies in Fire Safety     Open Access   (Followers: 11)
Central Asian Journal of Global Health     Open Access   (Followers: 2)
Central European Journal of Public Health     Full-text available via subscription   (Followers: 4)
CES Medicina     Open Access  
Child Abuse Research in South Africa     Full-text available via subscription   (Followers: 1)
Child's Nervous System     Hybrid Journal  
Childhood Obesity and Nutrition     Open Access   (Followers: 10)
Children     Open Access   (Followers: 2)
CHRISMED Journal of Health and Research     Open Access  
Christian Journal for Global Health     Open Access  
Ciência & Saúde Coletiva     Open Access   (Followers: 2)
Ciencia y Cuidado     Open Access  
Ciencia, Tecnología y Salud     Open Access  
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 1)
CME     Hybrid Journal   (Followers: 1)
CoDAS     Open Access  
Community Health     Open Access   (Followers: 1)
Conflict and Health     Open Access   (Followers: 8)
Curare     Open Access  
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 1)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Digital Health     Open Access  
Dramatherapy     Hybrid Journal   (Followers: 2)
Drogues, santé et société     Full-text available via subscription  
Duazary     Open Access   (Followers: 1)
Early Childhood Research Quarterly     Hybrid Journal   (Followers: 13)
East African Journal of Public Health     Full-text available via subscription   (Followers: 2)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 16)
EcoHealth     Hybrid Journal   (Followers: 3)
Education for Health     Open Access   (Followers: 4)
electronic Journal of Health Informatics     Open Access   (Followers: 4)
ElectronicHealthcare     Full-text available via subscription   (Followers: 3)
Elsevier Ergonomics Book Series     Full-text available via subscription   (Followers: 4)
Emergency Services SA     Full-text available via subscription   (Followers: 2)
Ensaios e Ciência: Ciências Biológicas, Agrárias e da Saúde     Open Access  
Environmental Disease     Open Access  
Environmental Sciences Europe     Open Access   (Followers: 2)
Epidemics     Open Access   (Followers: 3)
Epidemiology, Biostatistics and Public Health     Open Access   (Followers: 18)
Ethics, Medicine and Public Health     Full-text available via subscription  
Ethiopian Journal of Health Development     Open Access   (Followers: 8)
Ethiopian Journal of Health Sciences     Open Access   (Followers: 7)
Ethnicity & Health     Hybrid Journal   (Followers: 14)
European Journal of Investigation in Health, Psychology and Education     Open Access   (Followers: 1)
European Medical, Health and Pharmaceutical Journal     Open Access  
Evaluation & the Health Professions     Hybrid Journal   (Followers: 8)
Evidence-based Medicine & Public Health     Open Access   (Followers: 4)
Evidência - Ciência e Biotecnologia - Interdisciplinar     Open Access  
Face à face     Open Access   (Followers: 1)
Families, Systems, & Health     Full-text available via subscription   (Followers: 8)
Family & Community Health     Partially Free   (Followers: 12)
Family Medicine and Community Health     Open Access   (Followers: 3)
Family Relations     Partially Free   (Followers: 11)
Fatigue : Biomedicine, Health & Behavior     Hybrid Journal   (Followers: 1)
Food and Public Health     Open Access   (Followers: 10)
Frontiers in Public Health     Open Access   (Followers: 8)
Gaceta Sanitaria     Open Access   (Followers: 3)
Galen Medical Journal     Open Access  
Geospatial Health     Open Access  
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 11)
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Global Health : Science and Practice     Open Access   (Followers: 4)
Global Health Promotion     Hybrid Journal   (Followers: 15)
Global Journal of Health Science     Open Access   (Followers: 5)
Global Journal of Public Health     Open Access   (Followers: 9)
Globalization and Health     Open Access   (Followers: 5)
Hacia la Promoción de la Salud     Open Access  
Hastings Center Report     Hybrid Journal   (Followers: 7)
HEADline     Hybrid Journal  
Health & Place     Hybrid Journal   (Followers: 14)
Health & Justice     Open Access   (Followers: 5)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 7)
Health and Human Rights     Free   (Followers: 8)
Health and Social Care Chaplaincy     Hybrid Journal   (Followers: 9)
Health and Social Work     Hybrid Journal   (Followers: 46)
Health Behavior and Policy Review     Full-text available via subscription   (Followers: 1)
Health Care Analysis     Hybrid Journal   (Followers: 11)
Health Inform     Full-text available via subscription  
Health Information Management Journal     Hybrid Journal   (Followers: 10)
Health Issues     Full-text available via subscription   (Followers: 1)
Health Policy     Hybrid Journal   (Followers: 32)
Health Policy and Technology     Hybrid Journal  
Health Professional Student Journal     Open Access   (Followers: 1)
Health Promotion International     Hybrid Journal   (Followers: 20)
Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals     Full-text available via subscription   (Followers: 10)
Health Promotion Practice     Hybrid Journal   (Followers: 15)
Health Prospect     Open Access   (Followers: 1)
Health Psychology     Full-text available via subscription   (Followers: 47)
Health Psychology Research     Open Access   (Followers: 18)
Health Psychology Review     Hybrid Journal   (Followers: 39)
Health Renaissance     Open Access  
Health Research Policy and Systems     Open Access   (Followers: 9)
Health SA Gesondheid     Open Access   (Followers: 2)
Health Science Reports     Open Access  
Health Sciences and Disease     Open Access   (Followers: 1)
Health Services Insights     Open Access   (Followers: 1)
Health Systems     Hybrid Journal   (Followers: 2)
Health Voices     Full-text available via subscription  
Health, Culture and Society     Open Access   (Followers: 10)
Health, Risk & Society     Hybrid Journal   (Followers: 9)
Healthcare     Open Access   (Followers: 1)
Healthcare in Low-resource Settings     Open Access   (Followers: 1)
Healthcare Quarterly     Full-text available via subscription   (Followers: 8)
HERD : Health Environments Research & Design Journal     Full-text available via subscription  
Highland Medical Research Journal     Full-text available via subscription  
Hispanic Health Care International     Full-text available via subscription  
HIV & AIDS Review     Full-text available via subscription   (Followers: 9)
Home Health Care Services Quarterly     Hybrid Journal   (Followers: 5)
Hong Kong Journal of Social Work, The     Hybrid Journal   (Followers: 2)
Hospitals & Health Networks     Free   (Followers: 2)
IEEE Journal of Translational Engineering in Health and Medicine     Open Access   (Followers: 3)
IMTU Medical Journal     Full-text available via subscription  
Indian Journal of Health Sciences     Open Access   (Followers: 1)
Inmanencia. Revista del Hospital Interzonal General de Agudos (HIGA) Eva Perón     Open Access  
Innovative Journal of Medical and Health Sciences     Open Access  
Institute for Security Studies Papers     Full-text available via subscription   (Followers: 6)
interactive Journal of Medical Research     Open Access  
International Health     Hybrid Journal   (Followers: 4)
International Journal for Equity in Health     Open Access   (Followers: 7)
International Journal for Quality in Health Care     Hybrid Journal   (Followers: 31)
International Journal of Applied Behavioral Sciences     Open Access   (Followers: 2)
International Journal of Behavioural and Healthcare Research     Hybrid Journal   (Followers: 7)
International Journal of Circumpolar Health     Open Access   (Followers: 1)
International Journal of Community Medicine and Public Health     Open Access   (Followers: 5)
International Journal of E-Health and Medical Communications     Full-text available via subscription   (Followers: 2)
International Journal of Environmental Research and Public Health     Open Access   (Followers: 19)
International Journal of Evidence-Based Healthcare     Hybrid Journal   (Followers: 8)
International Journal of Food Safety, Nutrition and Public Health     Hybrid Journal   (Followers: 13)
International Journal of Health & Allied Sciences     Open Access   (Followers: 1)
International Journal of Health Care Quality Assurance     Hybrid Journal   (Followers: 7)
International Journal of Health Geographics     Open Access   (Followers: 6)
International Journal of Health Policy and Management     Open Access   (Followers: 2)
International Journal of Health Professions     Open Access   (Followers: 2)
International Journal of Health Promotion and Education     Hybrid Journal   (Followers: 12)
International Journal of Health Sciences Education     Open Access   (Followers: 2)
International Journal of Health Services     Full-text available via subscription   (Followers: 9)
International Journal of Health Studies     Open Access   (Followers: 3)
International Journal of Health System and Disaster Management     Open Access   (Followers: 2)
International Journal of Healthcare Delivery Reform Initiatives     Full-text available via subscription   (Followers: 1)

        1 2 3 | Last

Journal Cover Health Renaissance
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  This is an Open Access Journal Open Access journal
   ISSN (Print) 1994-7208
   Published by Nepal Journals Online Homepage  [74 journals]
  • Preparedness of health care of older people

    • Authors: B Bhattarai
      Pages: 147 - 148
      Abstract: Not available.Health Renaissance 2014;12(3): 147-148
      PubDate: 2016-07-25
      Issue No: Vol. 12, No. 3 (2016)
       
  • Bacteriological Evaluation of Tonsillar Surface and Tonsillar Core Micro
           Flora in Patients Undergoing Tonsillectomy

    • Authors: S Manandhar, S Bhandary, S T Chhetri, B Khanal, S P Shah, B P Sah, D Paudel
      Pages: 149 - 153
      Abstract: Background: Acute tonsillitis is the most common disease for the ENT surgeons. Effective treatment of the tonsillitis depends on knowledge of the infecting organism but there is always a dilemma whether the antibiotics prescribed for the tonsillitis is sufficient for the different organisms in the surface and core of the tonsils.Objective: To study the microorganism on the surface and in the core of the tonsil among the patients undergoing tonsillectomy and to correlate clinical profile of the patients with various microorganisms isolated.Methods: This was a cross sectional study conducted on fifty patients’ age ranging from 3 years to 45 years. The swabs obtained from the surface of the tonsil prior to tonsillectomy and core of the tonsil post tonsillectomy were sent for isolation of micro organism and microbial susceptibility technique by standard microbial method.Results: The common age group for tonsillitis was below 15 years (n= 26) and having male predominance and more common in patients from hilly region. The commonest indication for tonsillectomy was recurrent tonsillitis (n=47). There was 82% similarity in microorganisms isolated from the surface and core of the culture. Conclusion: This study highlights that the culture from the surface of the tonsil reflects the organism in the core. Staphylococcus aureus was the commonest isolated organism in the surface and core of the tonsil.Health Renaissance 2014;12(3): 149-153
      PubDate: 2016-07-25
      Issue No: Vol. 12, No. 3 (2016)
       
  • Circumstances of the First Drink among Problem Drinkers Seeking Help from
           a Psychiatric Service of a Teaching Institute In Eastern Nepal

    • Authors: Dhana Ratna Shakya
      Pages: 154 - 161
      Abstract: Background: Alcohol use and problem are common in Nepal.Objective: To investigate into the circumstances of alcohol use among problem drinkers, focusing mainly the first drink.Methods: It is a descriptive study among total of 200 consecutive consenting patients: 100 male and 100 female (gender balance emphasized), with alcohol use disorders seeking help from psychiatric service of a teaching institute in eastern Nepal in 2006-08. Alcohol use disorders were diagnosed with the ‘International classification of diseases and infirmities’ (ICD)- 10th edition. Related information about socio-demography and circumstances of alcohol use were collected by using a ‘semi-structured proforma’Results: Average (minimum, maximum) age of the subjects was 39.29 (17, 84) years. The age at the first drink was 17.31 (infancy, 59) years: 15.96 (infancy, 45) for males and 18.68 (infancy, 59) for females. As a whole, the most common circumstances of first use were custom of using alcoholic beverage as food, peer pressure/company, stressful situation and easily available at home. Custom of using alcohol as food, stressful situation, making in home and for health reason like during breast feeding were most common circumstances for first drink among females; and peer pressure and the custom were among males. A perceived stressor was associated more among females.Conclusion: Most problem-drinkers first drink in the pretext of the custom of alcoholic beverage as food, peer pressure, stressful situation and easy availability in eastern Nepal. Males start drinking at younger age and the first drink was more associated with stressors among females.Health Renaissance 2014;12(3): 154-161
      PubDate: 2016-07-25
      Issue No: Vol. 12, No. 3 (2016)
       
  • Clinico-Pathological Profile of Benign Cervico-Facial Masses In Eastern
           Nepal

    • Authors: Rupesh Raj Joshi, A Nepal, S Bhandary, S T Chhetri, S Karki
      Pages: 162 - 169
      Abstract: Background :Head and neck region is a common site for both solid and cystic lesions. The etiology of these masses includes inflammation, congenital-developmental malformations and neoplasia. Thyroglossal cyst, branchial cyst and laryngocoele are the common congenital and acquired conditions.Objective: To assess clinicopathological profile of benign cervico-facial masses in Eastern Nepal.Methods: Patients who were admitted with cervical swellings were included for the study. Acute inflammatory and malignant conditions were excluded. This study was conducted for five years at Department of ENT and Head Neck Surgery, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.Results: Out of total 499 patients included, female were 64.53% and male were 35.47%. Most patients (23%) were from between age 21-30 years. The cervical swellings were most commonly seen in upper lateral neck in 30.46%. Most of the patients (67.13%) presented within 2 years of the appearance of the swelling. Sixty-one percent of the swelling were of the size of 5 cm x 4 cm at presentation. Congenital and developmental malformations were seen in 27.65% Cysts other than developmental were found in 17.02%. The acquired benign lesions were seen in 55.31%.The swelling due to the diseases of the thyroid were found in 38.28%. The most common surgical management was thyroidectomy, done in 38.28%.Conclusion: Benign neck masses are common clinical presentation in the general population in eastern Nepal as in any head and neck clinics all over the world and present a challenge both to the clinician as well as the surgeon.Health Renaissance 2014;12(3): 162-169
      PubDate: 2016-07-25
      Issue No: Vol. 12, No. 3 (2016)
       
  • Consultation-Liaison Psychiatry in Tertiary Level Hospital In Nepal

    • Authors: Sanjeev Ranjan, R Poudel, P Pandey
      Pages: 170 - 174
      Abstract: Background: Consultation-liaison (C-L) psychiatry has emerged as a separate specialty in psychiatry in developed countries. It is an important component of a multidisciplinary hospital. In developing countries, this specialty is being underused and less emphasized. The reason for this could also be due to scarcity of study in this field in developing countries.Objective: To assess the socio-demographic and clinical variables of patients referred for C-L psychiatry in a tertiary hospital in western region of Nepal.Methods: One hundred consecutive inpatients referred for C-L psychiatry were assessed for socio demographic referrals, reason for referral and their attitude towards psychiatric referral. Each patient was evaluated in detail by consultant psychiatrists and the psychiatric diagnosis made according to the International Classification of Disease-10 (ICD-10) criteria.Results: The mean age of the sample was 40.28 years (±18.76) with male to female ratio of 1.27:1. The department of internal medicine was the most referring department (56%) and
      majority of the patients referred had positive attitude towards psychiatric referral (94%). Alcohol dependence syndrome (ADS) and intentional self harm (21% each) were the most common psychiatric diagnoses made. Conclusions: psychiatry consultation was done mostly by the department of internal medicine and majority of patient had positive attitude toward psychiatric referral.Health Renaissance 2014;12(3): 170-174
      PubDate: 2016-07-25
      Issue No: Vol. 12, No. 3 (2016)
       
  • Cost Analysis of Insecticide Spraying For Malaria Control In A Terai
           District Of Eastern Nepal

    • Authors: Pramod Singh GC, P K Pokharel
      Pages: 175 - 179
      Abstract: Background: Malaria is one of the public health problems in Nepal. It is estimated that 25% of population of Nepal are infected by malaria at any time. Malaria control program was first initiated in 1954 with support of USAID through the Insect Born Disease Control Program. This program was changed into Malaria Eradication Program in 1958. The program was reverted to control program in 1978.Objective: The objective of this study was to estimate the cost of insecticide spraying from the provider’s perspective in a Terai district of eastern Nepal.Methods: Morang District of eastern Terai was purposively selected. A pre-tested interview was used to collect data from program managers and government officers in the Malaria Control Program. The main categories of variables were manpower, insecticide, pump and others.Results: The cost for indoor residual spraying per person protected was calculated as Rs.24.70 (US$0.31). This cost was for one cycle and there were two cycles in a year. So the cost per year was Rs.49.40 (US$0.62). The cost per household was calculated as Rs. 129.56 (US$1.65) per cycle and Rs.259.12 and US$3.30 per year for residual spraying.Conclusion: In this cost analysis of indoor residual spraying, the cost per household per year was found Rs. 259.12 and US$3.30. The cost calculated per person protected per year was Rs. 49.40 and US$0.62. This analysis would be more complete if a comparative study of both costs and effectiveness of various vector control measures are undertaken in Nepal.Health Renaissance 2014;12(3): 175-179
      PubDate: 2016-07-25
      Issue No: Vol. 12, No. 3 (2016)
       
  • Nepalese Trekking Guides: A Quantitative Study of Sexual Health Knowledge
           & Sexual Behaviour

    • Authors: Padam Simkhada, E van Teijlingen, P Regmi, P Bhatta, R Ingham, N Stone
      Pages: 180 - 189
      Abstract: Background: Tourism, a global industry, brings with it a number of public health problems, one of which is the spread of sexually transmitted infections transmitted between travellers and hosts. Previous studies have largely focused on sex workers and sex tourists.Objective: To assesses sexual behaviour, knowledge and condom use among male trekking guides in Nepal.Methods: A self-administered questionnaire survey (n=324) was conducted using snowball sampling amongst men working as mountain trekking guides in Nepal. Results: Most respondents (59%) had initiated sex before the age of 18. Most (84 %) reported sexual relations with a woman other than their partner, 46% reported foreign partners, 43% had Nepalese partners, and 28% had concurrent foreign and Nepalese partners. Most (70 %) reported ever having sex with a foreign woman and two-thirds had had sexual intercourse with foreign women in the previous 12 months. Participants’ age, education status, age of first sex, smoking and drinking habits and English proficiency were significant predictors of having sex with foreign women. About 60% reported condom use during their most recent occasion of extra-martial sex. A similar proportion had used a condom during last sexual intercourse with a foreign woman. The likelihood of condom use was associated with a guide’s age, educational level, ethnicity, age of first sex and work experience.Conclusions: Most trekking guides reported sexual relations with foreign women as well as irregular use of condoms. Although sexual health knowledge about among trekking guides is high, some misconceptions still result in unsafe sex. Hence there is an urgent need to revise the existing training for trekking guides and implement appropriate health promotion programmes.Health Renaissance 2014;12(3): 180-189
      PubDate: 2016-07-25
      Issue No: Vol. 12, No. 3 (2016)
       
  • Crystalloid Prehydration versus Cohydration for Prevention Of Hypotension
           during Spinal Anaesthesia For Elective Caesarean Section

    • Authors: Apurb Sharma, P K Gupta, S N Singh, D Uprety
      Pages: 190 - 196
      Abstract: Background: Hypotension during spinal anesthesia is a well known problem.
      Traditionally prehydration before the spinal block is one of the strategies used to
      prevent hypotension. Recently the efficacy of prehydration has been questioned.
      Objective: To compare the incidence of hypotension and vasopressor requirement
      with crystalloid prehydration and cohydration in women undergoing elective
      caesarean section.Methods: The prospective randomized study was carried out in 120 patients undergoing elective lower segment caesarian section under spinal anaesthesia. They were allocated to receive either 20ml/kg of lactated ringer’s solution during 20 minutes prior to induction of spinal anaesthesia (prehydration group) or equivalent volume by rapid infusion immediately after administration of the local anaesthetic intrathecally (cohydration group). Vitals, incidence of hypotension, dose of mephenteramine used and complications were recorded.Results: Hypotension occurred in 19 of 60 patients (31.6%) in prehydration group whereas in 15 of 60 patients (25.0%) in cohydration group, but the difference was not significant (P>0.05). But significantly less patients in the cohydration group (2 of 60 vs 18 of 60) developed hypotension and required vasopressor therapy before delivery of baby (P<0.001). Similarly, parturients in the cohydration group required significantly less dose of mephenteramine for treatment of hypotension.Conclusion: Rapid crystalloid administration after the induction of spinal anaesthesia for elective caesarean section prevents hypotension before delivery and decreases vasopressor
      requirement.Health Renaissance 2014;12(3): 190-196
      PubDate: 2016-07-25
      Issue No: Vol. 12, No. 3 (2016)
       
  • Prevalence of Histologically Proven Acute Appendicitis And Incidental
           Carcinoid Tumour in the Practice of Surgical Pathology at BPKIHS

    • Authors: P Upadhyaya, C S Agarwal, A K Karak, S Karki, A Pradhan, T N Subba
      Pages: 197 - 203
      Abstract: Background: Appendicitis is the most common cause of acute abdominal pain requiring surgical intervention. Objective: To determine the relative prevalence of histologically proven acute appendicitis in surgically respected specimens with clinical diagnosis of acute appendicitis and also to find out the rate of occurrence of characinoid tumour as an incidental histologic finding.Methods: It is a retrospective study involving all gross specimens received in the department of pathology over a period of twenty months (1.1.2006 to 31.8.2007). Histologic data on 515 appendicectomy samples (clinically diagnosed as appendicitis) of the total 7295 specimens received over a period of twenty months were retrieved from the archives of department of pathology, with exclusion of appendectomy incidental to another surgical procedure.Results: Appendectomy specimens constituted 7.0% (n=515; M:F 1.1:1) of all surgical pathologic specimens (n=7295) at B.P.K.I.H.S. The breakups of histologic diagnoses are: acute appendicitis with or without periappendicitis and gangrenous change (93.6%, n=482), “receding appendicitis” (5.4%, n=28), and normal histology (1.0%, n= 5). Carcinoid tumours were detected incidentally in three cases (0.58%) out of all appendectomy specimens.Conclusion: Analysis of data revealed a prevalence of 6.99% of histologically proven acute appendicitis in this tertiary health care set up. The rate of occurrence of carcinoid tumour was 0.58%.Health Renaissance 2014;12(3): 197-203
      PubDate: 2016-07-25
      Issue No: Vol. 12, No. 3 (2016)
       
  • Effect of Oral Clonidine Premedication on Propofol Consumption for Patient
           Undergoing Laparoscopic Cholecystectomy

    • Authors: Jagat Narayan Prasad, S N Singh, K Pokhrel, S Khatiwada
      Pages: 204 - 208
      Abstract: Background: Various goals of premedication includes anxiolysis, sedation, amnesia, analgesia, attenuation of autonomic reflexes, and reduction of anaesthetic dose requirement. Preanaesthetic oral clonidine has been shown to produce anxiolysis, sedation and attenuation of hemodynamic stress response to tracheal intubation.Objective: To investigate the clinical efficacy of oral clonidine on propofol consumption in patients undergoing laparoscopic cholecystectomy.Methods: This was a prospective, randomized, double-blind placebo controlled study conducted in ninety consecutive patients randomly divided into three equal groups (placebo, tab. clonidine 150 mcg and tab. clonidine 300 mcg) meeting inclusion and exclusion criteria who underwent laparoscopic cholecystectomy. Study drug was given 60 minutes before induction of anaesthesia. Anaesthesia was induced with intravenous pethidine 1mg/kg followed by propofol . The dose of propofol for loss of verbal command was recorded. Anaesthesia was maintained with propofol at the rate of 10 mg/kg/h for 10 minutes then to 8 mg/kg/h for 10 minutes and ultimately decreased to 6 mg/kg/h after tracheal intubation. The rate of propofol infusion was adjusted by 2mg/kg/h to obtain adequate depth of anaesthesia (maintaining hemodynamic parameters within 20% of baseline).Results: The propofol induction dose was less in clonidine 150 mcg (1.2±0.2 mg/kg) and clonidine 300 mcg (1.08±0.24 mg/ kg) groups as compared to placebo group ( 1.4±0.3 mg/kg) (p=˂0.001). The rate of propofol infusion in mg/kg/h and in mcg/kg/h was lower in clonidine 150 mcg (6.7±1.6 and 121.3±11.37) and clonidine 300 mcg (7±1.4 and 120.0±9.8) groups as compared to placebo (10±3.2 and 148.0±32.53) group (p =˂ 0.001).Conclusion: oral clonidine premedication reduces propofol requirement for induction and maintenance of anaesthesiain patients undergoing laparoscopic cholecystectomy.Health Renaissance 2014;12(3): 204-208
      PubDate: 2016-07-25
      Issue No: Vol. 12, No. 3 (2016)
       
  • Presentation, Prescription Pattern and Time Taken To Discharge From An
           Emergency Department Of Eastern Nepal

    • Authors: A K Yadav, R Bhandari, B Rai, S Giri, D D Baral, M Mandal
      Pages: 209 - 214
      Abstract: Background: It is a great challenge for a doctor to give proper care and discharge because of overcrowding in emergency units like ours. The clinical records in emergency are an essential document that reflects the quality of care which is given to the patient.Objectives: To find out the time taken for discharge from emergency and to find out the current trend of problems presenting to emergency and their prescription pattern.Methods: A retrospective descriptive hospital based study was carried out using all emergency discharged patients’ case sheet records from 14th April to 14th May 2013. A number of 1022 files were analyzed. Results: Out of 1022 discharge files, majority (72%) of the patients included Australian Triage Score (ATS) 3. Patients with ATS 5 had a mean duration of stay of 24 hours whereas ATS 2, 3, 4 patients had mean duration of stay of 10.10 hours, 8.75 hours and 5.48 hours respectively. Most common clinical presentation was trauma (31.3%). Out of 1022 patients, 504 (49%) were treated with antibiotics. Cefixime was the most frequently administered antibiotics (24.7%). Of all 506 patients received analgesic, mostly diclofenac (30.8%), 79 received antispasmodic drugs, mostly hyoscine butyl bromide (6.2%), and antipyretics mostly paracetamol. Proton pump inhibitors (PPI) were used in 594 (58.1%) patients mostly pantoprazole (47.2%). Conclusion: Sicker patients had longer duration of stay in the emergency unit. Trauma is the most common presentation, analysis, antibiotics and PPL are the most commonly prescribed which show in the emergency unit.Health Renaissance 2014;12(3): 209-214
      PubDate: 2016-07-25
      Issue No: Vol. 12, No. 3 (2016)
       
  • Varenicline for Smoking Cessation: a Review

    • Authors: G P Rauniar, A Mishra, D P Sarraf
      Pages: 215 - 220
      Abstract: Tobacco use is the leading cause of preventable death and disability in the world. Although gradually declining in most developed countries, the prevalence of tobacco use has increased among developing countries. Nicotine is an addictive chemical that is inhaled from the tobacco present in the cigarettes. It acts on neuronal nicotinic acetylcholine receptors within the ventral tegmental area of the brain, causing dopamine release in the nucleus accumbens which reinforces nicotine-seeking behavior. Reward through the dopaminergic system is a common thread among many drugs of addiction. According to the National Anti-Tobacco Communication Campaign Strategy for Nepal smoking prevalence in Nepal is higher (38.4%) than the smoking prevalence in the world (29%). Smoking attributable annual deaths in Nepal is estimated at nearly 14,000 (9,000 male deaths and 5,000 female deaths) for population aged 35 and over. First-line pharmacotherapies for smoking cessation are varenicline, sustained-release bupropion and various forms of nicotine replacement therapy (i.e., patch, gum, lozenge, inhaler, nasal spray). These drugs can be used as monotherapy or combination therapy for the treatment of smoking cessation. After studying the outcome of many clinical trials and meta-analysis, it is concluded that cigarette smokers taking varenicline have the most success quitting smoking as compared with those taking other first-line pharmacotherapies for treating smoking cessation.  Health Renaissance 2014;12(3): 215-220
      PubDate: 2016-07-25
      Issue No: Vol. 12, No. 3 (2016)
       
  • A Case of Bipolar Affective Disorder Not Otherwise Specified Or
           Cyclothymia

    • Authors: B R Adhikari, N Sapkota, R Gautam, M Basnet, P Koirala, N Rajbhandari
      Pages: 221 - 223
      Abstract: The symptoms of mood disorders can be highly variable from person to person, and there are some differences in the present systems of classification to view some of the presentations of Bipolar Disorder Not Otherwise Specified (BPAD-NOS) and cyclothymia. This case highlights one of such presentations.Health Renaissance 2014;12(3): 221-223
      PubDate: 2016-07-25
      Issue No: Vol. 12, No. 3 (2016)
       
  • Presumptive Diagnosis and Treatment of Pulmonary Tuberculosis

    • Authors: R Chaudhary, R Bhandari
      Pages: 224 - 226
      Abstract: Tuberculosis is one of the major public health problems in South-East Asian countries with immense socio-economic impacts. The advantage and disadvantage of starting anti-tubercular therapy in presumptive diagnosis of pulmonary tuberculosis is debatable in a resource constrained settings. Even in the face of high prevalence, important pitfalls warrant consideration.Health Renaissance 2014;12(3): 224-226
      PubDate: 2016-07-25
      Issue No: Vol. 12, No. 3 (2016)
       
  • Multicystic Nephroma-Report of Two Rare Cases in a Span Of Seven Years

    • Authors: Punam Paudyal, M Agarwal, A Pradhan, A K Sinha, A K Karak, R Agarwal
      Pages: 227 - 229
      Abstract: Background: Multicystic nephroma (MCN) is an uncommon but distinctive benign pediatric renal neoplasm but may present clinically at any age. It is scantily reported in the literature. To the best of our knowledge it has not yet been reported from Nepal. It is characterized by a well circumscribed mass with nodular outer surface that contain multiple fluid filled locals. Microscopy show cystically dilated spaces lined by flattened to columnar epithelium and is separated by fibroblastic stroma. A hobnail pattern is common.Case description: Here we report two cases of multicystic nephroma in a span of seven years. The first case is of a one year old female child who was diagnosed of having huge left sided renal mass clinically and the second case is of a 35-year-old male revealing hydatid cyst in USG, CT scan and IVP. Both of them underwent nephrectomy and their microscopic examination revealed typical characteristics of a multicystic nephroma.Conclusion: Since MCN has a benign behaviour it must be differentiated from focal cystic neoplastic lesions, including cystic partially differentiated nephroblastoma (CPDN), which has a low but distinct capability for local recurrence; from Wilm’s tumour with cystic change; and cystic renal cell carcinoma.Health Renaissance 2014;12(3): 227-229
      PubDate: 2016-07-25
      Issue No: Vol. 12, No. 3 (2016)
       
 
 
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