ABSTRACT
Far migrated IUCD (Intrauterine Contraceptive Device) is an uncommon condition that has different manifestations depending upon its location. We present the case of a 22-year-old primipara who had a spontaneous abortion after IUCD placement and suffered chronic right lower abdominal pain thereafter. Diagnostic laparoscopy revealed Cu-IUCD in the right iliac fossa.
ABSTRACT
Introduction: Road traffic injuries are preventable yet one of the most neglected public health issues. Road traffic injuries not only impact the health of the victim but also cause financial burden to the entire family. This study aimed to find out the prevalence of road traffic injuries in patients visiting the Emergency Department in a tertiary care centre. Methods: A descriptive study was conducted among patients visiting the Emergency Department in a tertiary care centre from 1 January 2021 to 30 June 2021 after receiving ethical approval from the Institutional Review Committee (Reference number: IRC-LMC 07-J/020). Demographic information of the patients, accident profile and type of intervention at the hospital, and outcome were studied. Point estimate and 95% Confidence Interval were calculated. Results: Among 8,765 patients visiting the emergency department, road traffic injuries were seen in 112 (1.28%) (1.04-1.52, 95% Confidence Interval). Conclusions: The prevalence of road traffic injuries was found to be similar to other studies conducted in a similar setting. Keywords: automobiles; demography; Nepal; soft tissue injuries; traffic accidents.
Subject(s)
Accidents, Traffic , Soft Tissue Injuries , Humans , Cross-Sectional Studies , Tertiary Care Centers , Emergency Service, HospitalABSTRACT
Palliative care, namely the relief of pain, is a priority for cases of incurable diseases in Nepal. However, since oral morphine is not available, pain control is often inadequate. Euthanasia is not permissible by law but could be a better solution in some cases and should be made understandable to patients and physicians as in developed countries. Should euthanasia be legal? If cheap and effective palliative care were easily accessible, most terminally ill Nepalese would avoid pressure to practise euthanasia because it is a cheaper option.
ABSTRACT
INTRODUCTION: Hand washing is an important preventive measure to avoid transmission of Coronavirus Disease of 2019. Medical students should be acquainted with the World Health Organization's hand-washing guidelines and should follow them to break the chain of spread of the virus. This study aims to find the acquaintance of medical undergraduates with the guidelines and to find out if they have started implementing these guidelines since the corona-virus outbreak. METHODS: This is a descriptive cross-sectional study, conducted among MBBS, BSc, and PCL nursing students in their first year to the internship of a tertiary care hospital from May 2020 to August 2020, and ethical clearance was received from the Institutional Review Committee (ref no: IRC-LMC 11-D/020) of Lumbini Medical College and Teaching Hospital. Data collection was done through online questionnaires. Data analysis of the obtained information was done in Microsoft-excel. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. RESULTS: Of 462 respondents, 265 (57.4%) (52.9-61.9 at 95% Confidence Interval) respondents followed the World Health Organization hand-washing guidelines during every hand wash. Among them 172 (37.2%) participants had learned the guidelines through awareness programs. The majority of respondents belonged to 20-25 age groups, 275 (59.5%), and the majority were pursuing an MBBS degree, 360 (77.9%). CONCLUSIONS: We conclude that a notable number of medical undergraduates have been acquainted with standard hand-washing guidelines since the corona-virus outbreak, but some of them still do not follow the guidelines practically. Therefore, effective and impactful awareness programs need to be launched to improve hand hygiene practices.
