Subjects -> HEALTH AND SAFETY (Total: 1541 journals)
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HEALTH AND SAFETY (722 journals)                  1 2 3 4 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
16 de Abril     Open Access   (Followers: 4)
Acta Informatica Medica     Open Access   (Followers: 2)
Acta Scientiarum. Health Sciences     Open Access   (Followers: 3)
Adultspan Journal     Hybrid Journal   (Followers: 1)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 12)
Advances in Public Health     Open Access   (Followers: 28)
Adversity and Resilience Science : Journal of Research and Practice     Hybrid Journal   (Followers: 3)
African Health Sciences     Open Access   (Followers: 5)
African Journal for Physical, Health Education, Recreation and Dance     Full-text available via subscription   (Followers: 7)
African Journal of Health Professions Education     Open Access   (Followers: 6)
Afrimedic Journal     Open Access   (Followers: 3)
Ageing & Society     Hybrid Journal   (Followers: 47)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 7)
AJOB Empirical Bioethics     Hybrid Journal   (Followers: 3)
Akademika     Open Access   (Followers: 1)
American Journal of Family Therapy     Hybrid Journal   (Followers: 10)
American Journal of Health Economics     Full-text available via subscription   (Followers: 21)
American Journal of Health Education     Hybrid Journal   (Followers: 36)
American Journal of Health Promotion     Hybrid Journal   (Followers: 34)
American Journal of Health Sciences     Open Access   (Followers: 12)
American Journal of Health Studies     Full-text available via subscription   (Followers: 16)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 32)
American Journal of Public Health     Full-text available via subscription   (Followers: 280)
American Journal of Public Health Research     Open Access   (Followers: 28)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 6)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 8)
Annales des Sciences de la Santé     Open Access  
Annali dell'Istituto Superiore di Sanità     Open Access  
Annals of Global Health     Open Access   (Followers: 14)
Annals of Health Law     Open Access   (Followers: 6)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 15)
Applied Biosafety     Hybrid Journal   (Followers: 1)
Applied Research In Health And Social Sciences: Interface And Interaction     Open Access   (Followers: 5)
Apuntes Universitarios     Open Access   (Followers: 1)
Archive of Community Health     Open Access   (Followers: 1)
Archives of Community Medicine and Public Health     Open Access   (Followers: 2)
Archives of Medicine and Health Sciences     Open Access   (Followers: 5)
Archives of Suicide Research     Hybrid Journal   (Followers: 10)
Archivos de Prevención de Riesgos Laborales     Open Access   (Followers: 1)
Arquivos de Ciências da Saúde     Open Access  
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 11)
Asia Pacific Journal of Health Management     Full-text available via subscription   (Followers: 5)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 12)
Asian Journal of Gambling Issues and Public Health     Open Access   (Followers: 4)
Asian Journal of Medicine and Health     Open Access   (Followers: 1)
Atención Primaria     Open Access   (Followers: 2)
Atención Primaria Práctica     Open Access   (Followers: 1)
Australasian Journal of Paramedicine     Open Access   (Followers: 6)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 4)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Indigenous HealthBulletin     Free   (Followers: 5)
Autism & Developmental Language Impairments     Open Access   (Followers: 16)
Behavioral Healthcare     Full-text available via subscription   (Followers: 8)
Bijzijn     Hybrid Journal   (Followers: 1)
Bijzijn XL     Hybrid Journal  
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 8)
Biosafety and Health     Open Access   (Followers: 5)
Biosalud     Open Access   (Followers: 1)
Birat Journal of Health Sciences     Open Access  
BLDE University Journal of Health Sciences     Open Access  
BMC Oral Health     Open Access   (Followers: 7)
BMC Pregnancy and Childbirth     Open Access   (Followers: 24)
BMJ Simulation & Technology Enhanced Learning     Hybrid Journal   (Followers: 12)
Boletin Médico de Postgrado     Open Access  
Brazilian Journal of Medicine and Human Health     Open Access  
British Journal of Health Psychology     Hybrid Journal   (Followers: 50)
Buletin Penelitian Kesehatan     Open Access   (Followers: 2)
Buletin Penelitian Sistem Kesehatan     Open Access  
Bulletin of the World Health Organization     Open Access   (Followers: 23)
Cadernos de Educação, Saúde e Fisioterapia     Open Access   (Followers: 1)
Cadernos de Saúde     Open Access   (Followers: 1)
Cadernos Saúde Coletiva     Open Access   (Followers: 1)
Cambridge Quarterly of Healthcare Ethics     Hybrid Journal   (Followers: 14)
Canadian Family Physician     Partially Free   (Followers: 13)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 14)
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 3)
Canadian Journal of Public Health     Hybrid Journal   (Followers: 27)
Cannabis and Cannabinoid Research     Hybrid Journal   (Followers: 2)
Carta Comunitaria     Open Access  
Case Reports in Women's Health     Open Access   (Followers: 4)
Case Studies in Fire Safety     Open Access   (Followers: 25)
CASUS : Revista de Investigación y Casos en Salud     Open Access   (Followers: 1)
Central Asian Journal of Global Health     Open Access   (Followers: 2)
CES Medicina     Open Access  
CES Salud Pública     Open Access   (Followers: 1)
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: 11)
Children     Open Access   (Followers: 2)
CHRISMED Journal of Health and Research     Open Access   (Followers: 2)
Christian Journal for Global Health     Open Access  
Ciência & Saúde Coletiva     Open Access   (Followers: 2)
Ciencia & Salud     Open Access   (Followers: 2)
Ciencia & Trabajo     Open Access   (Followers: 1)
Ciencia e Innovación en Salud     Open Access  
Ciencia y Cuidado     Open Access   (Followers: 1)
Ciencia y Salud     Open Access   (Followers: 4)
Ciencia y Salud Virtual     Open Access  
Ciencia, Tecnología y Salud     Open Access   (Followers: 2)
Cities & Health     Hybrid Journal   (Followers: 2)
Clinical and Experimental Health Sciences     Open Access   (Followers: 1)
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 2)
Clocks & Sleep     Open Access   (Followers: 2)
CME     Hybrid Journal   (Followers: 2)
CoDAS     Open Access  
Community Health     Open Access   (Followers: 6)
Conflict and Health     Open Access   (Followers: 8)
Contraception and Reproductive Medicine     Open Access   (Followers: 2)
Cuaderno de investigaciones: semilleros andina     Open Access   (Followers: 3)
Cuadernos de la Escuela de Salud Pública     Open Access  
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 10)
Current Opinion in Environmental Science & Health     Hybrid Journal   (Followers: 1)
Das österreichische Gesundheitswesen ÖKZ     Hybrid Journal  
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Design for Health     Hybrid Journal  
Digital Health     Open Access   (Followers: 9)
Disaster Medicine and Public Health Preparedness     Hybrid Journal   (Followers: 14)
Diversity and Equality in Health and Care     Open Access   (Followers: 9)
Diversity of Research in Health Journal     Open Access  
Dramatherapy     Hybrid Journal   (Followers: 3)
Drogues, santé et société     Open Access   (Followers: 2)
Duazary     Open Access   (Followers: 1)
Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi / Journal of Duzce University Health Sciences Institute     Open Access  
Early Childhood Research Quarterly     Hybrid Journal   (Followers: 26)
East African Journal of Public Health     Full-text available via subscription   (Followers: 4)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 24)
EcoHealth     Hybrid Journal   (Followers: 5)
Education for Health     Open Access   (Followers: 9)
ElectronicHealthcare     Full-text available via subscription   (Followers: 3)
Elsevier Ergonomics Book Series     Full-text available via subscription   (Followers: 5)
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   (Followers: 4)
Environmental Sciences Europe     Open Access   (Followers: 2)
Epidemics     Open Access   (Followers: 5)
Epidemiologic Perspectives & Innovations     Open Access   (Followers: 6)
Epidemiology, Biostatistics and Public Health     Open Access   (Followers: 22)
EsSEX : Revista Científica     Open Access   (Followers: 1)
Estudios sociales : Revista de alimentación contemporánea y desarrollo regional     Open Access   (Followers: 1)
Ethics & Human Research     Hybrid Journal   (Followers: 3)
Ethics, Medicine and Public Health     Full-text available via subscription   (Followers: 7)
Ethiopian Journal of Health Development     Open Access   (Followers: 7)
Ethiopian Journal of Health Sciences     Open Access   (Followers: 8)
Ethnicity & Health     Hybrid Journal   (Followers: 14)
Eurasian Journal of Health Technology Assessment     Open Access  
EUREKA : Health Sciences     Open Access   (Followers: 2)
European Journal of Investigation in Health, Psychology and Education     Open Access   (Followers: 5)
European Medical, Health and Pharmaceutical Journal     Open Access   (Followers: 1)
Evaluation & the Health Professions     Hybrid Journal   (Followers: 10)
Evidence-based Medicine & Public Health     Open Access   (Followers: 9)
Evidência - Ciência e Biotecnologia - Interdisciplinar     Open Access  
Expressa Extensão     Open Access  
Face à face     Open Access   (Followers: 1)
Families, Systems, & Health     Full-text available via subscription   (Followers: 9)
Family & Community Health     Hybrid Journal   (Followers: 14)
Family Medicine and Community Health     Open Access   (Followers: 10)
Family Relations     Partially Free   (Followers: 15)
Fatigue : Biomedicine, Health & Behavior     Hybrid Journal   (Followers: 2)
Finnish Journal of eHealth and eWelfare : Finjehew     Open Access  
Food and Public Health     Open Access   (Followers: 19)
Food Quality and Safety     Open Access   (Followers: 1)
Frontiers in Digital Health     Open Access   (Followers: 2)
Frontiers in Public Health     Open Access   (Followers: 9)
Frontiers of Health Services Management     Partially Free   (Followers: 4)
Gaceta Sanitaria     Open Access   (Followers: 3)
Galen Medical Journal     Open Access   (Followers: 1)
Ganesha Journal     Open Access  
Gazi Sağlık Bilimleri Dergisi     Open Access  
Geospatial Health     Open Access   (Followers: 1)
Gestão e Desenvolvimento     Open Access  
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 9)
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Global Advances in Health and Medicine     Open Access  
Global Challenges     Open Access  
Global Health : Science and Practice     Open Access   (Followers: 8)
Global Health Annual Review     Open Access   (Followers: 5)
Global Health Journal     Open Access   (Followers: 2)
Global Health Promotion     Hybrid Journal   (Followers: 17)
Global Journal of Health Science     Open Access   (Followers: 10)
Global Journal of Public Health     Open Access   (Followers: 14)
Global Medical & Health Communication     Open Access   (Followers: 2)
Global Mental Health     Open Access   (Followers: 9)
Global Reproductive Health     Open Access   (Followers: 1)
Global Security : Health, Science and Policy     Open Access   (Followers: 1)
Global Transitions     Open Access   (Followers: 1)
Globalization and Health     Open Access   (Followers: 9)
Hacia la Promoción de la Salud     Open Access  
Hastane Öncesi Dergisi     Open Access  
Hastings Center Report     Hybrid Journal   (Followers: 5)
HCU Journal     Open Access  
HEADline     Hybrid Journal  
Health & Place     Hybrid Journal   (Followers: 19)
Health & Justice     Open Access   (Followers: 6)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 15)
Health and Human Rights     Open Access   (Followers: 10)
Health and Research Journal     Open Access   (Followers: 4)
Health and Social Care Chaplaincy     Hybrid Journal   (Followers: 11)
Health and Social Work     Hybrid Journal   (Followers: 71)
Health Behavior and Policy Review     Full-text available via subscription   (Followers: 5)
Health Behavior Research     Open Access   (Followers: 6)

        1 2 3 4 | Last

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Birat Journal of Health Sciences
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2542-2758 - ISSN (Online) 2542-2804
Published by Nepal Journals Online Homepage  [129 journals]
  • The Transgender Person in the 21st Century: Time for Clinicians of the
           World to Help!

    • Authors: Donald E Greydanus, Jo Codde
      Pages: 393 - 394
      Abstract: No Abstract.BJHS 2018, 3(2)6: 393-394.
      PubDate: 2018-09-05
      Issue No: Vol. 3, No. 2 (2018)
  • Outcome of Complicated Groin Hernia Repair at B.P. Koirala Institute of
           Health Sciences: A Retrospective Study

    • Authors: Brikh Raj Joshi, Swotantra Gautam, Suresh Sah, Nabin Poudel, Prashrit Thapa
      Pages: 395 - 398
      Abstract: Introduction: Groin hernias are common problem worldwide with approximate incidence of 5%. Indirect inguinal hernia is the commonest hernia irrespective of gender. The prevalence as well as complication of inguinal hernia will increase with increasing age. Strangulation, the most common serious complication of inguinal hernia occurs in 1 to 3 % of the patients. Outcome of the treatment depends on the duration of presentation, co-morbidities and extent of the surgery.Objective: The objectives were to study the different clinical presentation, surgical options and outcome of complicated groin hernia in tertiary care centre.Methodology: This retrospective review of case sheet was conducted in the department of surgery. We reviewed the record file of complicated groin hernia patients, irrespective of age and gender from January 2008 to December 2016 (8 years). Ethical Clearance was obtained from institutional review committee. Statistical analysis was performed using SPSS for windows, version 11.5(SPSS Inc.,Chicago,IL). The data were presented in percentage, mean and standard deviation.Results Out of 45 patients, majority were male 37(82.2%) and commonly effected age group was more than 60 years 18(40%) followed by infants and adolescents. Majorities had complicated inguinal hernias 42 (93.3%) followed by femoral hernia, i.e. 3(7%). Majority of patient underwent inguino-scrotal exploration 26(57.77%) followed by herniotomy 9(20%) and hernioplasty 7(15.55%). Most of the patients were discharged from the hospital 37(82.2%).Conclusion: Most common type of complicated hernia is inguinal hernia; irreducibility and pain were commonest symptoms at presentation. Commonly performed operation is inguinoscrotal exploration and herniorraphy with good surgical outcome.BJHS 2018;3(2)6:395-398.
      PubDate: 2018-09-05
      Issue No: Vol. 3, No. 2 (2018)
  • Use of Lumbar Puncture for First Episode of Febrile Seizure among Children
           6 Months to 18 Months of Age: A Cross Sectional Study

    • Authors: Nirajana Kayastha, Ganesh Kumar Rai, Subhana Karki
      Pages: 399 - 402
      Abstract: Introduction: Febrile seizure accounts for the majority cases of the pediatric seizure. Fever with seizure can be either due to febrile seizure or underlying serious infection as meningitis. As seizure may be the only manifestation of meningitis it is important to rule out meningitis in children presenting with fever and seizure.Objective: The objective of this study was to determine the incidence of meningitis among children aged 6 to 18 months presenting with first episode of febrile seizure.Methodology: A prospective observational study was conducted among 94 children with first episode of febrile seizure presenting to the emergency and observation wards of Kanti Childrens' Hospital and subjected to lumbar puncture (LP) as per the American Academy of Pediatrics (AAP) recommendations. The proportion of children with meningitis and no meningitis among the study population was determined, clinical characteristics were compared among these groups and the incidence of meningitis in simple febrile seizure and complex febrile seizure was calculated. The collected data was analysed using SPSS.Results: Twenty (21.3%) cases were diagnosed with meningitis among 94 children enrolled in our study. Meningitis was detected in 38.1% of the cases of complex febrile seizure and 7.7% of cases of simple febrile seizure. In the age group 6 to 12 months, 11 (17.4%) had meningitis while in 12 to 18 months of age, 9 (29%) were detected with meningitis. Meningitis was 7.38 times more likely in cases presenting with complex febrile seizure than simple febrile seizure (OR=7.58; 95% CI 2.24-24.4; p<0.001). Regarding the clinical characteristics, vomiting, fever of more than 48 hours duration prior to onset of seizure, impaired consciousness and complex features of seizure were found to be significantly associated with meningitis in our study.Conclusion: The probability of meningitis among children aged 6 to 18 months presenting with first episode of febrile seizure episode is high. In febrile convulsing children less than 18 months of age, meningitis should be considered even in the absence of signs of meningeal irritation.  BJHS 2018;3(2)6:399-402.
      PubDate: 2018-09-05
      Issue No: Vol. 3, No. 2 (2018)
  • Serum Amylase in Patients of Chronic Kidney Disease Stage Three to Stage

    • Authors: Anusmriti Pal, Laxman Mandal
      Pages: 403 - 407
      Abstract: Introduction: Chronic Kidney Disease (CKD) is a progressive loss in renal function over period of many months or years. As compared to the past decades, the number of kidney diseases leading to end CKD is increasing in Nepal. The disease is associated with the decreased glomerular filtration rate (GFR). There is decline in nephron function and number generally quantitated as reduction in glomerular filtration rate. As the GFR declines, there is accumulation of metabolic end products excreted by Kidney. Chronic kidney disease is identified by blood tests, creatinine and urea are two such substances routinely measured. Serum amylase is a pancreatic digestive enzyme that normally acts extracellular to cleave starch into smaller carbohydrate groups and, finally, into monosaccharide's. It is produced by 40-45% from the pancreas and (45%) reabsorbed by tubular cells. Elevations in serum total amylase among patients with CKD is due to impaired renal clearance and seen mostly when the creatinine clearance is below 50 ml/min. Several studies have been reported on this but there are no studies that have been done so far in Nepalese context.Objectives: This study is designed to correlate serum amylase with CKD stage three to stage five in patients of chronic renal disease irrespective of hemodialysis and prevalence of risk factors of CKD and different factors that may affect the level of serum amylase in patients presenting to Bir Hospital Nephrology department, Nepal.Methods: The study was a cross-sectional, observational, descriptive, hospital based carried out in Nephrology Unit of Bir hospital both inpatient or outpatient irrespective of hemodialysis from March 2014 to March 2015. Patients with increased serum amylase due to acute Pancreatitis, Mumps, Intestinal Obstruction, Peptic Ulcer, Cancer, other than renal cause were excluded. The results were analyzed using SPSS version 11 and Microsoft Excel by correlation coefficient.
      Result: Present study shows that among 126 patients, the prevalence of age group was from 15 years to 78 years with majority being male. The serum amylase levels were significantly higher in Chronic Kidney Disease Stage V with significant p-value. At 80-100 Serum Amylase level had strong correlation of 0.504 for CKD III stage and significant at 10 percent level. The correlation between CKD IV at 80-100 was significant at 10 percent but weak of 0.189. Whereas, CKD V was highly significant but negative at more than 161 Serum Amylase.Conclusion: From the study it was concluded that in Chronic Kidney Disease, Serum amylase was found to be higher as the eGFR decreases. BJHS 2018;3(2)6:403-407. 
      PubDate: 2018-09-05
      Issue No: Vol. 3, No. 2 (2018)
  • The Efficacy of External Rotation Method for The Reduction of Acute
           Anterior Shoulder Dislocation With and Without Greater Tuberosity Fracture

    • Authors: Gopal Prasad Gnawali, Indra Dhakal, Kishor Khatri, Shanta Sharma
      Pages: 408 - 412
      Abstract: Introduction: Several methods of reduction technique have been described for the anterior dislocation of shoulder but none technique is said to be ideal. The aim of this study was to show the efficacy of external rotation method which could be safe and painless method for the reduction of the acute anterior shoulder dislocation with or without fracture of the greater tuberosity and to search the cause of failure of reduction.Objective: Objective of this study was to assess the efficacy of the external rotation method for reduction of acute anterior shoulder dislocation and to find the cause of failure of reduction.Methodology: All cases of anterior dislocation encountered in emergency department reduced by external rotation method by consultant orthopedic surgeon using basic emergency setting for resuscitation were included in the study. Fifty cases of shoulder dislocation was treated by this method and prospective evaluation done with regard to type of dislocation, the effectiveness of the procedure in achieving reduction, the need for pre-medication, the ease of performing reduction and complication if any.Results: Out of 50 cases, successful reduction was achieved in 42 patients. Premedication was not required in 36 successful reduction. Average time of reduction was 2 minutes in 30 patients and 5 minutes in 8 patients. Four Patients complained severe pain during reduction process. This method was not successful in 8 patients 2 of whom had displaced greater tuberosity fracture.Conclusion: The external rotation method is reliable and safe method for the reduction of acute anterior shoulder dislocation which can be performed relatively with less pain for both subcoracoid and subglenoid dislocation provided there is no displaced fracture of the greater tuberosity.  BJHS 2018;3(2)6: 408-412.
      PubDate: 2018-09-05
      Issue No: Vol. 3, No. 2 (2018)
  • Factors Associated with Exclusive Breast Feeding Practices among Mothers
           of Infant and Young Children in a Primary Health Care Centre, Kathmandu: A
           Cross-Sectional Study

    • Authors: Narayani Paudel, Puspa Parajuli
      Pages: 413 - 417
      Abstract: Introduction: Exclusive breast feeding up to first six months of life is the safest and healthiest practice for children all over the world. Various factors may affect to the exclusive breast-feeding though it is necessary for promotion of child's health.Objective: The objective of this study was to identify the factors associated with exclusive breast feeding practices among mothers of infant and young children.Methodology: A cross-sectional study was carried out at Gokarna Primary Health Care Centre, Kathmandu. Total 137 mothers having at least one child 0-23 months of age, attending to Maternal and Child Health Clinic were purposively selected for the study. Consecutive sampling was done. All the mothers who meet the criteria during the period of data collection (August to September, 2017) were included in the study. Ethical clearance was obtained from the Institutional Review Committee of Kathmandu Medical College, Kathmandu. Written consent was taken from each respondent and face to face interview technique was used to collect the data using pre-designed structured questionnaire. Data were analyzed using Statistical Package for Social Science 16.0 version. Both descriptive and inferential statistics were used for data analysis.Results: Majority of the respondents (56.9%) had adequate knowledge on exclusive breast feeding, about 54% of the mothers had initiated breast feeding within one hour of delivery and all in all mothers had ever breast fed their child. More than one third (36.5%) of babies were given pre-lacteal fed, around two thirds of babies were breast fed exclusively at least less than one month but only around 40% of the babies had received exclusive breast feeding for six months. Exclusive breast feeding was significantly associated with, normal vaginal delivery, pre-lacteal fed given and having adequate level of knowledge regarding exclusive breast feedingConclusion: On the basis of findings, mode of delivery, pre-lacteal feeding and level of knowledge on exclusive breast feeding were the factors significantly associated with exclusive breast feeding. The practice of exclusive breast feeding for six months of age was not up to the mark. BJHS 2018;3(2)6:413-417.
      PubDate: 2018-09-05
      Issue No: Vol. 3, No. 2 (2018)
  • Determining Relation between Gallstone and Lipid Profile

    • Authors: Rabin Raj Singh, Sunil Chandra Adhikari, Ravi Bastakoti, Sunil Regmi, Ravindra Baskota, Kshitij Giri
      Pages: 418 - 422
      Abstract: Introduction: Cholelithiasis is presence of stone in gallbladder. Female sex, obesity, pregnancy, fatty foods, all are associated with an increased risk of developing gallstones. There is paucity of information regarding relation of cholelithiasis and lipid profile. In this study the association of serum lipids to cholelithiasis has been tried to been elucidated.Objectives: The general objective was to determine the relation of Serum lipid in cholelithiasis. The specific objectives were to compare the relation between serum cholesterol, serum triglyceride, serum HDL and serum LDL in patients with and without gallstones.Methodology: A prospective, observational, hospital based study was conducted at Koshi Zonal Hospital from March 2017 to February 2018. Fifty four patients having gallstone (Group A) were compared with equal number of patients without gallstone (Group B). Data was entered into SPSS/MS Excel. Statistical Analysis was done by using Chi-square test. A 95% confidence interval was taken, and P value less than 0.05 was considered as statistically significant.Results: In Group A, 61%(33) patients were of age less than 45 years and 91%(49) were female. In group A, 3.7 %(2) and in group B, 7.4%(4) had raised serum cholesterol. Greater number of patient in group A had raised serum triglyclyceride and LDL as compared to group B. 18.5%(10) of group A had low serum HDL, and 9.3% (5) of group B had low serum HDL. Except for finding of gallstone more common in female, other findings had no statistical significance.Conclusion: There exists an inverse correlation between Serum Cholesterol and serum HDL with gallstone and positive association between serum Triglyceride and serum LDL with cholelithiasis. However the association could not reach the statistical significance.  BJHS 2018;3(2)6:418-422.
      PubDate: 2018-09-05
      Issue No: Vol. 3, No. 2 (2018)
  • Clinico-Pathological Study of Hysterectomy Specimens in Kathmandu Medical
           College Teaching Hospital

    • Authors: Sailesh Bahadur Pradhan, Mamata Sedhain, Sneh Acharya, Sailuja Maharjan, Samikchhya Regmi
      Pages: 423 - 426
      Abstract: Introduction: Uterus is subjected to many non-neoplastic and neoplastic diseases. Hysterectomy is the commonest gynecological surgery done for the management of the pathologies of the female reproductive system. Histopathological examination of hysterectomy specimens is done routinely which has both diagnostic and therapeutic significance.Objective: To study the common pathologies identified in hysterectomy specimens and to correlate them with the clinical findings.Methodology: A cross sectional study was carried out among all the hysterectomy specimens irrespective of primary lesion sent for histopathological examination from January 2016 to December 2017 in Department of Pathology, Kathmandu Medical College Teaching Hospital (KMCTH). Relevant history was taken from the requisition form. Ethical clearance was obtained from the Institutional Review Committee of KMCTH.Results: A total of 198 cases were studied. The most common pathology encountered was leiomyoma (60.0%) followed by adenomyosis (14.0%). Atrophic endometrium was seen in 24.3% cases. Chronic cervicitis was found in most of the cases (96.5%) along with endocervical polyp in 8.1% cases. Leiomyoma was found to be the most common indication for hysterectomy comprising 48.0% followed by abnormal uterine bleeding (24.75%) and utero-vaginal prolapse (18.25%). Hysterectomy was most commonly performed in the age group of 41 - 50 years and total abdominal hysterectomy with bilateral salpingo-oophorectomy was found to be the commonest procedure done comprising 8 0.0%.Conclusion: Leiomyoma was found to be the most common pathology in myometrium and chronic cervicitis in cervix. Abnormal uterine bleeding and vaginal prolapsed were also found to be common. Lesions which can be managed conservatively do need hysterectomy or not, is a matter of great concern. BJHS 2018;3(2)6:423-426.
      PubDate: 2018-09-05
      Issue No: Vol. 3, No. 2 (2018)
  • Gall bladder cancer: A single center experience

    • Authors: Sushil Bahadur Rawal, Kunda Bikram Shah, Dhana Bahadur Shrestha, Srijan Malla, Jyoti Rayamajhi, Manoj Kumar Jha, Anup Thapa
      Pages: 427 - 431
      Abstract: Introduction Gallbladder cancer (GBC) is the most common malignancy of the biliary tract, which is increasing in Southeast Asia. An early diagnosis is crucial for curative surgical resection. However, patients present late because at an early stage the initial symptoms are non- specific. Radical surgery is a challenging operation, and should be carried out only if R0 resection is feasible.Objectives: The aim of this study was to analyse the patient profile, clinical presentation and peri-operative outcome of patients who underwent various surgeries for GBC.Methodology: Patients who had undergone surgery for GBC at our center over a 7 year period were identified from our database. A retrospective analysis from prospectively collected data was done. We analysed the outcome of these patients over the study period.Results: Forty-four patients underwent surgery for GBC. There was a female preponderance (34 patients; 77%) and the mean age of the patients was 54 years (range 22-76 years). Thirty-six patients (82%) were diagnosed pre-operatively. Extended cholecystectomy (either segment IVb/V or 2cm nonanatomical wedge resection of the liver) with standard lymph node clearance was performed in 35 patients (79%). Peri-operative complications was seen in 11 patients (25%) and in hospital mortality was seen in 2 patients (4.5%)Conclusion: GBC is the most common malignancy of the biliary tract. As majority of patient present with locally advanced disease a potential curative resection warrants an aggressive surgical approach, which includes liver resection, lymph node clearance and resection of involved adjacent organs. Although this is a formidable surgery, it is the only chance for long-term survival. BJHS 2018;3(2)6:427-431.
      PubDate: 2018-09-05
      Issue No: Vol. 3, No. 2 (2018)
  • Efficacy of Physiotherapy in Improving the Range of Motion of Elbow after
           the Treatment of Pediatric Supracondylar Humeral Fracture

    • Authors: Subash Chandra Jha, Prakash Shakya, Pramod Baral
      Pages: 432 - 436
      Abstract: Introduction: Temporary stiffness of elbow range of motion (ROM) after treatment of supracondylar humeral fracture in children is often a parental concern.Objectives: We examined the role of physiotherapy in improving the elbow ROM in management of supracondylar humeral fracture in children.Methodology: Sixty-four patients were randomly divided into intervention and control groups. Then intervention group patients received regular physiotherapy sessions while control group patients were not sent for physiotherapy. We assessed the outcome according to Flynn criteria during their follow-ups at two, six and 12 weeks, after removal of cast/k-wires.Results: In intervention group, 77.4% children had excellent outcome, and in control group, 80.6% children had excellent outcome. However, we did not find any statistically significant association between physiotherapy and outcome at 12 weeks, after controlling for baseline characteristics in multivariable regression model.Conclusion: Children managed by close reduction for uncomplicated supracondylar humeral fracture with immobilization for three weeks regain their functional ROM within 12 weeks of mobilization by themselves, with no added benefit from physiotherapy.
      BJHS 2018;3(2)6: 432-436.
      PubDate: 2018-09-05
      Issue No: Vol. 3, No. 2 (2018)
  • The Endovenous Laser Therapy for the Management of Varicose Veins

    • Authors: Prashant Kaushal, Shen Xuan San
      Pages: 437 - 442
      Abstract: Introduction: Varicose veins of the lower limb are common condition affecting majority of people worldwide and has great effect on quality of life. The definitive therapy being surgery with stripping of the veins which is associated with surgical complications, prolong recovery time and significant recurrence. Endovenous laser therapy (EVLT) is a minimally invasive procedure which is widely used for the treatment of varicose veins with excellent results.Objective: To evaluate the safety and efficacy of EVLT for the management of varicose veins.Methodology: This was a prospective study of 40 patients who underwent endovenous laser therapy at the affiliated hospital of Inner Mongolia University for the Nationalities from October 2016 to September 2017. All patients with primary symptomatic varicose veins with sapheno-femoral incompetence or great saphenous vein (GSV) reflux were included in the study. The patient's information and data were recorded during the hospital stay in the proforma for EVLT with the informed consent. The variables used were mean operating time, intra-operative blood loss, duration of hospital stay, return to normal activity, complications and the recanalization. Following discharge, the patients were followed up to six months.Results: Forty patients with unilateral varicose veins were treated with EVLT. There were 24 female and 16 male with mean age of 52 yrs and the majority of patients having symptoms for more than five years. The mean operative time and intra-operative blood loss were 80 minutes and 52 ml respectively. The mean duration of hospital stay was 2.5 days with 90% patients returning to the normal activity in 10 days. Swelling and indurations were the most common complication in 10 patients followed by hypoesthesia in 8, ecchymosis in 7 and skin burn in 4 patients.Conclusion: EVLT seems to be safe and effective minimally invasive procedure with excellent clinical outcome in terms of lower postoperative pain, early return to normal activities and fewer complications. However large sample size with long follow up study should be conducted for evaluating long term benefits.  BJHS 2018;3(2)6:437-442.
      PubDate: 2018-09-05
      Issue No: Vol. 3, No. 2 (2018)
  • Prednisolone versus Prednisolone combined with Acyclovir for the Treatment
           of Bell's Palsy: A Comparative Study in Peripheral Referral Centre

    • Authors: Karuna Shrestha, Rajeev Shah, Srijana Sapkota, Sandarva Giri
      Pages: 443 - 446
      Abstract: Introduction: Bell's palsy is an idiopathic facial nerve palsy of sudden onset, usually, unilateral. Recent evidence suggests association of Herpes simplex infection with Bell's palsy but exact cause is unknown. Prednisolone are widely used in the treatment of Bell's palsy. However, the efficacy of additional treatment with acyclovir is uncertain.Objective: To evaluate whether a prednisolone with acyclovir provide a better degree of facial muscle recovery outcomes than prednisolone alone in patient with Bell's palsy.Methodology: This is a hospital based longitudinal cross sectional study conducted in Birat Medical College and Teaching Hospital and Birat Hospital PVT LTD, Biratnagar, Nepal from January 2017 to May 2018. A total of 42 patient diagnosed with Bell's palsy are included in this study, where 21 patient are treated with prednisolone and remaining 21 patient treated with a combination of prednisolone and acyclovir. The House-Brackmann grading scale is used for recording the initial presentation of patient with Bell's palsy and their early recovery on follow-up visit. The collected data was analysed using SPSS 18.0.Results: The total number of patients included in this study was 42. Mean age of patients is 27.1±10 years. Among them 25 (59.5%) were male and 17(40.5%) were female where male and female ratio is 1.5:1. Prednisolone plus acyclovir given in combination in Bell's palsy patients has as 76.2% recovery while prednisolone given alone has a 57.1% recovery P value <0.195, odds ratio 2.400 (95% confidence interval 0.638 – 9.028).Conclusions: Prednisolone and acyclovir, the combined therapy is effective than prednisolone alone in the treatment of Bell's palsy. It requires confirmation with randomized controlled trial.  BJHS 2018;3(2)6: 443-446
      PubDate: 2018-09-05
      Issue No: Vol. 3, No. 2 (2018)
  • Evaluation of Knowledge, Attitude and Practices of Parents toward their
           Children Oral Health Compared with their Dental Caries status

    • Authors: Parajeeta Dikshit, Senchhema Limbu, Sujaya Gupta, Ruby Pradhan
      Pages: 447 - 452
      Abstract: Introduction: Oral health is an integral component of overall health and well-being. Unfavorable oral hygiene habits cause early development of dental caries. Parents play a vital role in the oral health habits of their children. The oral care for the children can be improved by enhancing the oral health knowledge of their parents.Objectives: The objective of this study was to find out the knowledge, attitude and practices of parents toward their children oral health compared with dental caries status.Methodology: The sample consisting of 168 parent-child pair attending the Pedodontics department from November-December 2017 participated in the study after approval from Institutional review committee. A validated Nepali version of a structured questionnaire was used to collect the information on the knowledge, attitude and practice of the parents about oral health which was compared with the dental caries status of children and parents. The caries status was evaluated using the WHO criteria. The data was tabulated and subjected for statistical analysis.Results: Most of the parents (89.3 %) were aware that dental caries was the most common dental disease affecting children. Around 57.7% knew the importance of fluoride in prevention of dental caries. The children had higher dental caries rate than parents which was statistically significant. The overall oral health knowledge and attitude of the parents was adequate but their practice was inadequate. Inadequate attitude and practice of the parents had statistically significant impact on the caries status of the child.Conclusions: The parent's oral hygiene knowledge has an effect on their children oral health. So adequate education for parents is necessary to improve the influence of their dental health habits on their children's oral health.  BJHS 2018;3(2)6: 447-452.
      PubDate: 2018-09-05
      Issue No: Vol. 3, No. 2 (2018)
  • Knowledge and Attitude Regarding Infection Control and Standard
           Precautions among Healthcare Workers of Rural Nepal

    • Authors: Ajay Kumar Rajbhandari, Reshu Agrawal Sagtani, Bijay Thapa, Puspanjali Adhikari
      Pages: 453 - 457
      Abstract: Introduction: A healthcare associated infection (HCAI) during patient care is an emerging challenge to healthcare service delivery. Transmission of most of these HCAIs can be prevented through application of standard precautions which are a set of infection control practices followed during patient care, whether or not they appear infectious or symptomatic.Objective: This study aims to assess the existing knowledge and attitude on infection control and standard precautions among healthcare personnel working in peripheral healthcare settings of Nepal.Methodology: It was a cross-sectional study and included nine different health facilities in Makwanpur district. Knowledge and attitude regarding infection control and standard precautions were assessed with the help of a self-administered questionnaire on a pre-determined scale. The results are presented as frequency distribution table and valid proportions.Results: In the study, 91.9% of the HCWs agreed that HCAI is caused by micro-organisms that can be transmitted between patients while 51.5% of them disagreed that HCAI can be caused by micro-organisms carried on the hands of healthcare workers. Majority (98.6%) of the HCWs believed that the use of gloves, mask and apron reduces the risk of HCAI whereas 13.5% of HCWs disagreed that gloves should be changed between the examination of different patients. Although 97% of the HCWs agreed that hand should be washed before and after examining the patient, 17.6% of them informed that they do not always wash their hands before and after examining a patient.Conclusion: Irrespective of limited availability of infection control guidelines, it was found that the knowledge on HCAI control was good and majority of the respondents showed favorable attitude towards infection control and standard precautions.  BJHS 2018;3(2)6: 453-457.
      PubDate: 2018-09-05
      Issue No: Vol. 3, No. 2 (2018)
  • Comparative Study of Intra Operative Blood Sugar Level in Spinal

    • Authors: Akriti Bajracharya, Surendra Mohan Sharma, Surinder Nath Bawa, Lalit Kumar Rajbanshi, Batsalya Arjyal
      Pages: 458 - 462
      Abstract: Introduction: The aim of the study was to carry out the comparative study of variations in blood glucose levels intra operatively in patients undergoing surgical procedures in Spinal Anesthesia and General Anesthesia by capillary blood glucose level.Objective: To compare intra operative blood glucose level in Spinal and General Anesthesia.Methodology: Sixty non diabetic patients (30 in each group) aged between 20 – 60 years belonging to ASA I and ASA II status were enrolled for this prospective comparative study. Capillary blood glucose was measured preoperatively and thereafter at 15 minutes interval after incision in Spinal Anesthesia and after induction of General Anesthesia till one hour of surgery. For statistical analysis paired sample t – test was used for comparing mean of quantitative data. Difference was considered statistically significant if p < 0.05.Results: Blood sugar level was well controlled in patients receiving spinal anesthesia. General anesthesia produced more increase in blood sugar level compared to base line value which was statistically significant (P<0.05). Similarly, Glycaemia was significantly higher in the General anesthesia group (p < 0.05) when compared with Spinal Anesthesia group suggesting poor control of stress response during general anesthesia.Conclusion: Based on capillary blood glucose level, spinal anesthesia proved more effective in suppressing stress response as compared to general anesthesia in elective surgical patients. BJHS 2018;3(2)6: 458-462
      PubDate: 2018-09-05
      Issue No: Vol. 3, No. 2 (2018)
  • Treatment of Warts by Immunotherapy Using Purified Protein Derivative

    • Authors: Dilip Choudhary, Silviya Piya
      Pages: 463 - 467
      Abstract: Introduction: Spontaneous clearance of warts has been reported with the development of cell mediated immunity. Various antigens and vaccines have been used for the non specific stimulation of cell mediated immunity and purified protein derivative (PPD) is one of them.Objective: To assess the effectiveness of intralesional PPD injection for the clearance of cutaneous warts.Methodology: This is an open labeled study and non-probability sampling method was used for enrolling the cases. Patients with cutaneous warts were injected with PPD intralesionally (2.5 TU) at an interval of 2 weeks for a total of five sessions and they were followed for 6 months after they received the last session therapy.Results: A total of 52 patients,29 males and 23 females, were enrolled in the study and among them 28 patients had verruca vulgaris,12 patients had verruca plantaris, 9 patients had periungual wart and 3 patients had verruca plana. Total clearance of warts was seen in 78.8%(41) of patients, however 21.2% (11) patient did not respond to the therapy. Most of the patients tolerated the therapy well and few of them had mild side effects like erythema, pain and oedema at the site of injection.Conclusion: Immunotherapy with intralesional injection of PPD is a safe and effective way to treat cutaneous warts with good response rate.  BJHS 2018;3(2)6: 463-467.
      PubDate: 2018-09-05
      Issue No: Vol. 3, No. 2 (2018)
  • Cutaneous Manifestations in Patients with Chronic Kidney Disease on
           Hemodialysis and its Correlation with Renal Function, Dialysis Cycle and

    • Authors: Manish Pradhan, Gaurav Chettri, Dipa Rai, Sagar Paudel
      Pages: 468 - 474
      Abstract: Introduction: Skin is the mirror of an internal disease, including the renal system. Chronic kidney disease presents with variety of skin diseases, which is caused either by kidney disease or by treatment modalities.Objective: To evaluate the revalence of various skin disease in patients with chronic renal disease and relation of various skin diseases with serum creatinine, blood urea, hemoglobin and number of hemodialysis cycle.Methodology: A cross-sectional analytical study was conducted in hundred patients of either sex, aged 18 years and above; with chronic kidney disease (stage V) admitted for dialysis in Nephrology department of Nobel Medical College and teaching hospital, Biratnagar, Nepal. The study groups were evaluated for various skin manifestation and parameters of renal function like blood urea and serum creatinine.Results: Among the total patients (n=100), 84 patients presented with complain of skin manifestation but on detail examination 97 patients had at least one skin disease. The causes leading to chronic kidney disease were found to be hypertension 58%, diabetes mellitus 49%, IgA nephropathy 7%, systemic lupus erythematosus 7% and glomerulonephritis 4%. Xerosis was the commonest skin disease encountered in these patients amounting to 71% among which 43 were hypertensive and 34 were diabetic. Xerosis was followed by pruritus (62%), pallor (54%), mucosal changes (39%), skin infection (36%), hair changes (34%), pigmentation (33%) and nail changes (29%). Serum creatinine showed statistically significant association with pruritus ( =0.030) and  pigmentation ( =0.010), similarly blood urea showed significant association with pruritus ( =0.001). Similarly, number of dialysis cycle showed significant association with pigmentation of skin ( =<0.001).Conclusion: Chronic kidney disease is associated with variety of skin diseases. The commonest were xerosis and pruritus. Early detection and appropriate intervention can relieve and decrease suffering.  BJHS 2018;3(2)6:468-474.
      PubDate: 2018-09-05
      Issue No: Vol. 3, No. 2 (2018)
  • Harmonic Scalpel over Electrocautery, Evaluation of Peroperative Blood
           Loss in Selective Neck Dissection: A Comparative Study

    • Authors: Manish Agrawal, Sanjeev Kumar Thakur, Quazi Billur Rahman, Atul Kumar Agrawal, Nancy Bansal Agrawal
      Pages: 475 - 479
      Abstract: Introduction: The use of Harmonic Scalpel (HS) over Electrocautery (EC) in neck dissection has become standard of care in recent years. However, both the devices are presently widely used in practice and still serve large number of patients globally according to surgeon's choice and cost effectiveness.Objective: To evaluate the amount of peroperative blood loss in cancer patient undergoing selective neck dissection (Levels I, II and III) with Harmonic Scalpel (HS) and Electrocautery (EC).Methodology: The study was performed in the Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Biratnagar Hospital PVT LTD and Birat Medical College and Teaching Hospital, Nepal from June 2012 to February 2018. A total of 40 patients, 27 male and 13 female, aged 45 to 70 years diagnosed with oral cavity cancer were included in this prospective study. Two groups were formed, 20 patients in each group based on the surgical instrument used; Harmonic Scalpel (HS) and Electrocautery (EC). Data for age and sex of the patients were collected preoperatively. The surgery was performed under general anesthesia with endotracheal intubation and standard protocol was maintained during surgery. Amount of peroperative blood loss was measured and recorded. Data was processed and analyzed using SPSS and was compiled and test of significance was done using unpaired't' test.Results: The amount of peroperative blood loss was significantly lower in Harmonic Scalpel (HS) group then in Electrocautery (EC) group.Conclusion: Results from this study suggests that the Harmonic Scalpel (HS) is an effective device to reduce peroperative blood loss during selective neck dissection.  BJHS 2018;3(2)6: 475-479
      PubDate: 2018-09-05
      Issue No: Vol. 3, No. 2 (2018)
  • Profile of Patients Presenting with Asthma in Pediatric OPD of Kathmandu
           Medical College

    • Authors: Anwesh Bhatta
      Pages: 480 - 483
      Abstract: Introduction: Asthma is the most common chronic disorder of childhood accounting for a significant proportion of childhood disability. Although asthma has been known to be a result of complex interplay between genetic and environmental factors, other added factors have been studied.Objective: This study was conducted to assess the patient characteristics and different risk factors in children with asthma.Methodology: The study was a cross-sectional study carried out at Kathmandu Medical College for duration of six months. Patients were labeled as asthma as per the diagnosis guideline of Global Initiative for Asthma (GINA) 2016. After the diagnosis of asthma, patient and their caregivers sat for a face to face interview and a detailed proforma was filled up. Data was then entered in SPSS 20 and descriptive analysis was done to analyze the results.Results: A total of 69 patients labeled with the diagnosis of asthma were enrolled during the study period. The mean age of the enrolled patients was 6.44(±3.36) years. Male outnumbered the females (17:8). The study showed 45(65.2%) of the patients had a physician diagnosed allergic rhinitis while only around 5% had atopic dermatitis. Around 52.2% of the patients had a family history of atopy. Most of the patients (75.4%) enrolled in the study were labeled as mild persistent asthma followed by intermittent asthma in 18.8% and moderate persistent asthma in 5.8%.Conclusion: The study found asthma to be more prevalent in male population while mild persistent asthma was the most common severity present in the population. The most frequent risk factor for asthma found in the current study was physician diagnosed allergic rhinitis.  BJHS 2018;3(2)6: 480-483.
      PubDate: 2018-09-05
      Issue No: Vol. 3, No. 2 (2018)
  • The Effect of Single Bout of Acute Exercise on Working Memory Performance

    • Authors: Santosh Kumar Deo, Kopila Agrawal, Prem Bhattrai, Raju Kumar Chaudhary
      Pages: 484 - 487
      Abstract: Introduction: Working memory is a kind of short term memory important for reasoning and guiding decision-making and behavioral process.Objective: The goal of the present research was to study the outcome of single bout of acute moderate-intensity exercise on working memory.Methodology: Twenty two male subjects were asked to perform working memory task by 2n back task in baseline resting, immediately after exercise and after five minute of exercise session. 3 minute step test procedure was used as a moderate intensity exercise intervention.Results: The percentage correctness of 2n back task of working memory was found to be 64.36% for baseline resting condition, 78.01 % for immediately after 3-minute step test and 80.70% for 5 minute after the exercise. In both exercise session (i.e. immediately after exercise and after 5 minute of exercise), significant improvement (p value <0.05) in working memory was seen as compared to the baseline resting session while no such significant beneficial improvement was seen when compared between immediately after exercise and after 5 minute of exercise.Conclusion: Improvement in working memory after moderate exercise intervention was seen, which is important for learning and memory and decision-making.  BJHS 2018;3(2)6:484-487.
      PubDate: 2018-09-05
      Issue No: Vol. 3, No. 2 (2018)
  • Dental-Implant Retained Mandibular Overdenture: A Case Report

    • Authors: Rahul Gupta, Raj Kumar Singh, Bishal Babu Basnet
      Pages: 488 - 491
      Abstract: The prosthetic management of the patient with resorbed ridge has long been a major challenge for dentistry. Conventional complete denture for long was the standard of care for all such patients. However, most patients find it difficult to adapt to mandibular denture due to lack of retention and stability. Recent scientific studies carried out over the past decade have determined that the benefits of a mandibular two-implant overdenture are sufficient to propose the two-implant overdenture-rather than the conventional denture - as the first treatment option. BJHS 2018;3(2)6:488-491.
      PubDate: 2018-09-05
      Issue No: Vol. 3, No. 2 (2018)
  • Juvenile Polyposis Syndrome in a Young Patient: A Rare Case Report

    • Authors: Yamuna Agrawal, Rajan Shah, Brikh Raj Joshi, Vivek Kattel
      Pages: 492 - 494
      Abstract: Juvenile polyposis syndrome prevalence is 1 in 16,000 to 1 in 100,000 which usually present at the age of 20 years. The tumor is likely to change into malignant condition in 20% of cases. Here we present this rare syndrome in a 16-year boy. BJHS 2018;3(2)6:492-494.
      PubDate: 2018-09-05
      Issue No: Vol. 3, No. 2 (2018)
  • Conventional Approach for Fabrication of Orbital Prosthesis: A Case Report

    • Authors: Tanuja Singh, Suraj Ram Bhakta Mathema, Pratik Manandhar
      Pages: 495 - 499
      Abstract: Facial defect rehabilitation is a very critical task which requires personalized design of the prosthesis for each patient. Eyes are vital organ not only for vision but also for the facial expression. Disfigurement due to loss of an eye and associated structures may cause physical and psychological distress to the patient. Rehabilitating such patient with a removable orbital prosthesis is an economical and patient-friendly procedure which restores the patient's social as well as the cosmetic value. The present article describes a conventional technique for the fabrication of a spectacle retained acrylic resin orbital prosthesis providing accurate and effective rehabilitation.  BJHS 2018;3(2)6:495-499.
      PubDate: 2018-09-05
      Issue No: Vol. 3, No. 2 (2018)
  • Case Report: Newborn with Anorectal Malformation

    • Authors: Triptee Agrawal, Hem Sagar Rimal
      Pages: 500 - 503
      Abstract: Anorectal malformations are defined by the relationship of the rectum to the sphincter complex and can be classified as high and low anomaly based on whether meconium is present or absent, presence of dimple, anocutaneous reflex, sacral abnormality or presence of meconium in urine. The diagnosis should be made in the delivery room by inspecting the perineum. Meconuria with absence of anal opening invariably indicates a high malformation which requires a colostomy in the newborn period. Low malformations do not become evident until 24 hours when the meconium may show up in the perineal fistula. These defects can be managed by a perineal anoplasty without a colostomy in the newborn period. A prone cross table lateral shoot abdominal film is required if clinical information at 24 hours is insufficient to decide whether a colostomy is needed. We present a case of newborn, day 4 of life, who did not pass meconium since birth, had abdominal distension, vomiting, poor feeding and lethargy since last 2 days. Anal area showed pigmentation with presence of median raphe, anal dimple and slightly formed anal opening. Baby was initially thought as a case of low type imperforate anus. On further evaluation, was found to have meconuria too. Invertogram done showed high type defect. Rest of the examination was normal. Supportive therapy was initiated and baby underwent transverse loop colostomy for high type imperforate anus on day 5 of life. So it is always advisable to confirm the type of anorectal malformation both clinically and by doing required investigation before deciding for any operative intervention like colostomy or anoplasty, as clinical examination and investigation may not correlate in all occasions. Evaluation should also include screening out for associations and other sacral anomalies.  BJHS 2018;3(2)6: 500-503.
      PubDate: 2018-09-05
      Issue No: Vol. 3, No. 2 (2018)
  • Adenomatoid Odontogenic Tumor of the Mandible: An Unusual Clinical

    • Authors: Amita Rai, Mamta Dali, Bandana Koirala, Sneha Shrestha, Pradeep Acharya, Ashish Shrestha
      Pages: 504 - 507
      Abstract: Adenomatoid odontogenic tumor (AOT) is a rare benign neoplasm of odontogenic epithelial origin. A 12-year-old male reported to the department of pedodontics and preventive dentistry with swelling on lower part of face since seven months. On examination, firm to hard, nontender swelling, sized approximately 3 × 3 cm, extending from mandibular left canine to right lateral incisor with expansion of labial and lingual cortices was present. Radiograph revealed a well demarcated unilocular radiolucency exhibiting sclerotic border with flecks of calcification and displaced roots of mandibular anteriors and expansion of both cortices. Incisional biopsy confirmed the diagnosis of AOT. Enucleation of the lesion along with #31, 32 and curetiage was done under general anesthesia. Ribbond fiber prosthesis was given to maintain the arch integrity and esthetics. AOT in mandible (35%) of young male (36%) of extrafollicular variant (24%) is rare. We may encounter only 2-3 out of 100 AOT cases as typical as the case presented here.  BJHS 2018;3(2)6: 504-507.
      PubDate: 2018-09-05
      Issue No: Vol. 3, No. 2 (2018)
  • Ultrasound Guided Thoracic Paravertebral and Coeliac Plexus Block for Open

    • Authors: Rupesh Kumar Yadav, Anuj Jung Rayamajhi, Bidur Kumar Dhungel, Subash Chandra Poudel, Prashanta Poudel, Kapil Pokhrel, Anang Pangeni, Bikram Byanjankar
      Pages: 508 - 510
      Abstract: Ultrasound guided nerve blocks are gaining popularity these days due to its higher accuracy and reduced incidence of complications. Ultrasound guided unilateral paravertebral block in combination with unilateral coeliac plexus block and unilateral Rectus sheath block in patients with multiple co-morbidities provides adequate anesthesia for surgery and it also reduces incidences of mortality, morbidity and hospital stay in comparison to General anesthesia and spinal / epidural anesthesia. Paravertebral block , Coeliac plexus block and Rectus sheath blocks can be performed with higher success rate with the use of ultrasound.  BJHS 2018;3(2)6:508-510.
      PubDate: 2018-09-05
      Issue No: Vol. 3, No. 2 (2018)
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