Outpatient parenteral antibiotic therapy (OPAT) has become established as a standard of care in most Australian hospitals to treat variety infections. Since 1998, the Alternate Site Infusion Service (ASIS) provided an OPAT service five southern Brisbane, Queensland, using predominantly patient or carer administration model (self-administered, S-OPAT). The aim this study was evaluate outcomes our S-OPAT programme.Consecutive patients treated by ASIS at Princess Alexandra Hospital from January...

Background: Urticaria is a short-lived swelling of skin and mucosa due to plasma leakage by immune non mediated activation released mediators from mast cell basophil. Autoimmune urticaria tends have high itch wheal score than other type urticaria. Its diagnosis practically relied upon clinical suspicion autologous serum test. Autologous test (ASST) the simple cost effective differentiate autoimmune bulk chronic patients. Objective: To compare features in patients having positive versus...

Infertility is a global health issue and socially destabilizing condition for couples with several stigmas including medical, social, psychological burdens marital disharmony. The aim was to study the incidence of infertility in attending outdoor Nobel Medical College know contributing factors among infertile couples.A prospective cross-sectional carried out outpatient department teaching hospital July 2015-June 2016, where same were evaluated.The this 5.45% it dominated by secondary...

Abstract Background Family planning services in the post-partum period, termed family (PPFP) is critical to cover unmet need for contraception, especially when institutional delivery rates have increased. However, intention choose PPFP methods such as intrauterine devices (PPIUD) remains low countries Nepal. Community health workers Female Health Volunteers (FCHVs) could play an important role improving service coverage of their knowledge and community-based related remain unclear. This...

Background: Thyroid hormones play a key role in the menstrual and reproductive function of women .It is recognized universally that disturbances may accompany clinical alteration thyroid every clinician has encountered altered pattern among suffering from disorders. The aim this study was to find incidence disorders Dysfunctional uterine bleeding its correlation with patterns.Materials Methods: A hospital based cross-sectional including 75 cases dysfunctional attending OPD Nobel Medical...

Thyroid hormone is known to affect reproductive biology. Abnormal uterine bleeding one of the common presentations in gynaecology outpatient departments and thyroid dysfunction its progression. This study aims find prevalence diagnosed cases abnormal patients a tertiary hospital eastern Nepal.A descriptive cross-sectional was conducted with care Nepal from April 2019-March 2020 after taking ethical clearance Institutional Review Committee. On basis inclusion exclusion criteria, 95 were...

Introduction: Nepal Society of Obstetricians and Gynecologists jointly with the Nepalese governmentand support from International Federation Obstetrics Gynecology hasimplemented an initiative to institutionalize postpartum family planning services in selected majorreferral facilities address gap low uptake Nepal.The aim study is find prevalence service coverage contraception inthe facilities.
 Methods: A descriptive cross-sectional was conducted seven major referral acrossNepal. Data...

Background:Recent advances in biotechnology have led to an improved understanding of the impact thyroid functions on adult, mature brain. This development has been particularly helpful elucidating role hormones pathophysiology psychiatric disorders. The aim study was evaluate occurrence various disorders adult patients affected by different Methods and materials:This a descriptive, cross- sectional, hospital based collaborative between internal medicine psychiatry department at Gandaki...

We report a case of mono-microbial post-cesarean necrotizing fasciitis caused by methicillin resistant Staphylococcus aureus, in low-risk healthy woman who presented with acute fulminant infection, sepsis and features multi-organ dysfunction syndrome on sixth post-operative day. Aggressive management multiple surgical debridement supportive therapy was the key to favorable outcome this case.

Background & Objectives:Post cesarean surgical site infection (SSI) is one of the commonly encountered complications which considerably increase burden to health care. It caused due interplay various patient related, procedure related and iatrogenic factors. This study aims at identifying common risk factors for post SSI our centre.Materials Methods:This was a prospective observational conducted from July 2015 December 2015, in all patients who were admitted with or developed during...

Introduction: Post cesarean surgical site infection (SSI) is one of the common complications diagnosed in 2.5%-16% cases and associated with significant increase maternal morbidity, hospital stay, costs, psychological stress to new parents. This study was designed incidence SSI antimicrobial resistance pattern our hospital.
 
 Methods: a prospective observational conducted from July 2015 December 2015, which all patients who were admitted post or developed during their stay...

Caesarean section in a severely kyphotic patient presents with unique challenges. We report case of obstructed labor pregnant lady severe kyphosis spine that was managed by caesarean section. Lateral recumbent position adequate assistance and paramedian or vertical skin incision used found to provide good exposure. Baby delivered lower segment uterine reverse breech extraction. Postpartum hemorrhage uterotonics bilateral artery ligation. Tubal ligation though advised refused the patient....

Paratubal cysts are generally small but there rare cases of large paratubal cyst and this case is one them. Here we report a young female with complains abdominal fullness since 3 months. On examination, huge mass (25 x 25 cm) extending from symphysis pubis upto xiphisternum was noted. Ultrasongraphy showed cystic 27 cm. Intraoperatively, the paratubal. It drained help veress needle laparoscopic cystectomy done. A adnexal above umbilicus traditionally managed by laparotomy. But advent...

Acute kidney injury is a rare complication of pregnancy and associated with high maternal morbidity mortality. Obstetric factors it are preeclampsia/eclampsia, sepsis, hemorrhage dehydration. Here, we aim to find out the prevalence complete recovery renal function among obstetric patients acute injury.This descriptive cross-sectional study conducted in tertiary care hospital from 1st July 2020 30th June 2021 where who had developed were included followed till 6 weeks diagnosis. Ethical...

Difficult intubating conditions, anticipated or unanticipated, are part of every anaesthesist’s life. A large number aids and various techniques have been described for in such situations. The primary job the anesthesiologist is to secure airway provide adequate ventilation anesthetised patient. Failure manage difficult has led many total deaths attributable anesthesia. Proper examination selection appropriate method intervention utmost importance. retrograde intubation technique one...

Background TORCH is a group of organisms like Toxoplasma, Rubella, Cytomegalo virus and Herpes simplex virus. These groups causing infections in pregnant lady leads to various degree adverse pregnancy outcomes the form spontaneous abortion, preterm delivery, intrauterine growth restriction, severe congenital defect with syndromic babies. So, observe relationship infection first trimester miscarriage our population treat them, this study was performed.Materials Methods A total 103 patients...

INTRODUCTION: Among medical education institutions worldwide, the time allotted for anatomy instruction has decreased without any reasonable optimization suggestions. In addition, utility of cadaver dissection long been debated.MATERIAL & METHODS: This study was conducted to determine attitudes preclinical students in human anatomy. A collection questionnaire introduced 290 students, including both MBBS and BDS Universal College Medical Sciences, Nepal. For each question, were choose one...

Pelvic hematomas are common occurring in delivering the baby but spontaneous broad ligament hematoma following vaginal delivery is rarely seen and less than 100 cases reported literature. This article reports a rare case of vacuum 22 years Para1 lady with history postpartum collapse 3 hours after delivery.

Introduction: Infertility is a global health issue and socially destabilizing condition for couples with several stigmas including medical, social, psychological burdens marital disharmony. The aim was to study the outcome of laparoscopy in infertile females attending Nobel Medical College as considered gold standard investigation treatment infertility. Methods: A descriptive cross-sectional carried out department Obstetrics Gynaecology over period May 2018-April 2020, where outcomes were...

Hemoperitoneum during pregnancy is a rare but potentially life threatening condition to both mother and fetus. Spontaneous hemoperitoneum may develop from rupture of various abdominal or pelvic viscera like spleen, pancreas also uterus the uterine ovarian vessels rarely endometrial implants. It mimics placental abruption having similar clinical presentation acute pain, peritonitis, shock fetal distress death. We present case spontaneous superficial in third trimester with an objective share...