Use of levetiracetam in pediatric refractory status epilepticus Shakya KN, Bhatta A, Phuyal S, Yadav A

Abstract: Refractory status epilepticus, with persistence of seizures despite initial intravenous benzodiazepine and one secondline intravenous antiepileptic drug occurs in nine percent to 44% of the patients with status epilepticus. Aggressive treatment is needed to control such seizures with drug refractoriness. A case of a 2-year-old boy treated with intravenous levetiracetam Read more…

Transthoracic echocardiography in patients with chronic kidney disease Shrestha B, Gurung D, Dhungel S

Abstract: Background: Evaluation of cardiac diseases in chronic kidney disease has been rarely investigated in Nepal. Objectives: Objective of this study is to evaluate cardiac lesions in admitted chronic kidney disease patients.   Methodology: It is a prospective observational study of echocardiography of chronic kidney disease patients from April, 2007 to April, 2013 in Read more…

Use of C-reactive protein level in diagnosis of tubercular pleural effusion Pant S, Shrestha SK, Sharma L, Shrestha B

Abstract: Background: C-reactive protein in both pleural fluid and serum has been found to be higher in tubercular pleural effusion than in other causes of pleural effusion. Objectives: The main aim of this study was to find out the diagnostic value of C-reactive protein in patients with lymphocytic pleural effusion. Methodology: A cross-sectional study was Read more…

Cephalometric evaluation of Brahmins of Kathmandu, Nepal based on Jarabaks analysis Pokharel M, Shrestha SL

Abstract: Background: The cephalometric norms derived from Caucasian population shows a great degree of variation when applied to different population. Objectives: The present research was performed with the objective of determining cephalometric norms of Brahmins of Nepal based on Jarabaks analysis, to evaluate the variability between male and female and to compare the cephalometric Read more…

Perception of nurses regarding family needs of critically ill patients in a tertiary hospital of Kathmandu: A crosssectional study Pandey S, Shrestha R, Paudel N

Abstract: Background: Getting serious illness and being admitted in critical care unit is always stressful to patient and family members. Meeting the needs of family members of patients in the intensive care unit is a primary responsibility of intensive care unit staff and an important criterion in assessment of quality of care. Read more…

Preemptive use of oral gabapentin or pregabalin for acute postoperative pain following lower limb orthopaedic surgery under spinal anaesthesia Acharya U, Ghimire A, Bhattarai B, Singh SN, Prasad JN, Maharjan R

Abstract: Background: Postoperative pain is a major cause of perioperative morbidity and functional impairment. Preemptive analgesia is an analgesia regimen instituted before the surgery, to desensitize the pain pathways. Pregabalin and gabapentin have been claimed to be effective in reducing postoperative pain without significant alterations in hemodynamics.   Objectives: This study was conducted Read more…

Awareness and involvement of fathers in care of their under five children in Jorpati, Kathmandu: A cross Sectional Study

Poudel S Abstract:  Background: Children are not just mini human creatures, they are different entities and have unique need for care, nourishment, play, interaction and harmonious environment. Both parents are equally responsible for providing such environment for optimum growth and development of children. Involvement of fathers in care not only promotes their Read more…