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1.
JNMA J Nepal Med Assoc ; 58(224): 248-251, 2020 Apr 30.
Article in English | MEDLINE | ID: mdl-32417862

ABSTRACT

INTRODUCTION: Coronavirus disease pandemic has affected large number of people globally and has continued to spread. Preparedness of individual nations and the hospitals is important to effectively deal with the surge of cases. We aimed to obtain nation wide data from Nepal, about hospital preparedness for COVID-19. METHODS: Online questionnaire was prepared in accordance with the Center for Disease Control recommendations to assess preparedness of hospitals for COVID-19. The questionnaire was circulated to the over 800 doctors across the nation, who are the life members of six medical societies. RESULTS: We obtained 131 completed responses from all seven provinces. Majority of respondents had anaesthesiology as the primary specialty. Only 52 (39.7%) participants mentioned that their hospital had policy to receive suspected or proven cases with COVID-19. Presence of isolation ward was mentioned by 83 (63.4%) respondents, with only 9 (6.9%)mentioning the presence of airborne isolation. Supply of personal protective equipment (PPE) was inadequate as per 124 (94.7%) respondents. Critical care services for COVID-19 patients were possible only in hospitals of 42 (32.1%)respondents. RT-polymerase chain reaction could be performed only in the hospital of 6 (4.6%) respondents. CONCLUSIONS: It is apparent that most of the hospitals are not well prepared for management of patients with COVID-19. Resource allocation and policy making should be aimed to enhance national preparedness for the pandemic.


Subject(s)
Civil Defense , Coronavirus Infections , Coronavirus , Emergency Service, Hospital/organization & administration , Pandemics , Pneumonia, Viral , Betacoronavirus , COVID-19 , Coronavirus Infections/epidemiology , Coronavirus Infections/prevention & control , Emergencies , Humans , Nepal/epidemiology , Personal Protective Equipment/supply & distribution , Pneumonia, Viral/epidemiology , Pneumonia, Viral/prevention & control , SARS-CoV-2 , Surveys and Questionnaires
2.
JNMA J Nepal Med Assoc ; 56(208): 447-50, 2017.
Article in English | MEDLINE | ID: mdl-29453478

ABSTRACT

INTRODUCTION: Sinonasal polyposis is one of the commonest causes of nasal obstruction. Surgical management is treatment of choice. Microdebrider offers more advantage to conventional instruments. We aimed to find out outcome using microdebrider versus conventional instruments in endoscopic sinus surgery of sinonasal polyposis. METHODS: The cross sectional descriptive study carried out in patients aged 13 years and above with diagnosis of sinonasal polyposis. Total of 51 patients were operated on the right side with microdebrider and left side with conventional instruments. Postoperatively each patient assessed for nasal obstruction subjectively and by endoscopic examination to look for mucosal oedema, synechiae and recurrence at 4 weeks and 8 weeks postoperatively. RESULTS: The incidence of mucosal oedema in microdebrider and conventional instruments at 4 weeks and 8 weeks was statistically not significant with P value 0.089, 0.322 respectively. The incidence of synechiae in conventional group was more than microdebrider 1 (2%) versus 4 (7.8%) at 4 weeks follow up but the difference was statistically not significant (P value 0.773). There were 2 (3.9%) recurrences in microdebrider group and 3 (5.8%) recurrences in conventional group with P value 0.532. CONCLUSIONS: Use of microdebrider offered fewer incidences of synechiae and recurrence. But we couldn't find statistical advantage over conventional instruments.


Subject(s)
Edema/epidemiology , Endoscopy/instrumentation , Nasal Obstruction/surgery , Nasal Polyps/surgery , Otorhinolaryngologic Surgical Procedures/instrumentation , Paranasal Sinus Diseases/surgery , Postoperative Complications/epidemiology , Adolescent , Adult , Aged , Cross-Sectional Studies , Debridement/instrumentation , Female , Humans , Incidence , Male , Middle Aged , Nasal Obstruction/etiology , Nasal Polyps/complications , Nepal , Polyps/surgery , Surgical Instruments , Tissue Adhesions/epidemiology , Young Adult
3.
Nepal Med Coll J ; 8(4): 292-3, 2006 Dec.
Article in English | MEDLINE | ID: mdl-17357654

ABSTRACT

A case of Oncocytoma of maxillary sinus in a 73 years old female is reported along with a brief review of literature. To the best of our knowledge this extremely rare tumor is the first of its kind reported in Nepal. Literature review has revealed only four such cases originating from maxillary sinus.


Subject(s)
Adenoma, Oxyphilic/pathology , Maxillary Sinus Neoplasms/pathology , Adenocarcinoma/pathology , Adenocarcinoma/surgery , Adenoma, Oxyphilic/surgery , Aged , Female , Humans , Maxillary Sinus Neoplasms/surgery
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