An Amazing Experience in Nepal
By Heather Brown, MD I had an amazing opportunity to spend a month working in the ED at Scheer Memorial Hospital in Banepa, Nepal, during my second year of residency. Scheer is a missionary hospital 30 kilometers outside Kathmandu with a six-bed emergency room open 24 hours a day. The ED was staffed with a mix of seasoned western physicians and young Nepali house staff who were mostly recent medical school graduates. There were plenty of chances to make a serious impact, and I was ready to do just that! Arriving in Nepal I’ve been passionate about international medicine since I was in college, and I couldn’t wait to work in such remote part of the world. I arrived ready for adventure after a 16-hour flight, and Kathmandu did not disappoint. The airport was absolute chaos. I was immediately surrounded by cab drivers trying to overcharge me and vendors selling everything from water to snake oil. I was finally able to find a police officer who directed me to an honest cab driver who drove me to Banepa. We wove through dusty city streets with no lanes and up winding mountain roads next to crowded buses and swerving cyclists. I was sure that I was going to die in the back of that cab, but I somehow arrived at the hospital in one piece. Dr. Brown in Nepal. The Emergency Room The patients at Scheer’s ED were not all that different from the patients I was used to in Columbia except the typical gastroenteritis patient in Nepal...
Publication date: July 2020Source: Journal of Adolescence, Volume 82Author(s): Holly M. Kobezak, Brandon E. Gibb
CONCLUSIONS: There is a need to improve respiratory infectious disease procedures in our study hospitals, especially in outpatient and emergency departments. PMID: 32459978 [PubMed - as supplied by publisher]
Authors: Spoto S, Legramante JM, Minieri M, Fogolari M, Terrinoni A, Valeriani E, Sebastiano C, Bernardini S, Ciccozzi M, Angeletti PS Abstract Aim: The diagnostic and prognostic role of procalcitonin (PCT) and mid-regional-pro-adrenomedullin (MR-proADM) were investigated in patients with pneumonia. Material &methods: A total of 168 and 77 patients with pneumonia enrolled in two different hospital settings, an internal medicine unit and an emergency unit were included in the study. PCT and MR-proADM plasma concentrations and pneumonia severity index score were measured. Median values were compared by ...
CONCLUSIONS: Body mass index and population density were inversely associated with pulmonary tuberculosis relapses in Cali. On the contrary, alcohol consumption increased the likelihood of tuberculosis relapses. PMID: 32463612 [PubMed - as supplied by publisher]
CONCLUSION: Each drug when used as monotherapy against Leishmania spp. was effective, but the combination therapy was more effective than the individual drugs due to the additive or synergistic effects. PMID: 32463611 [PubMed - as supplied by publisher]
Authors: Román-González A, Toro JP, Arias LF Abstract La insuficiencia suprarrenal primaria es un defecto en la producción de glucocorticoides, mineralocorticoides y andrógenos sexuales. Los pacientes afectados por esta condición se caracterizan por concentraciones bajas de cortisol y deficiencia de aldosterona con hiponatremia e hiperpotasemia concomitantes. La etiología más común es el desarrollo de anticuerpos contra la enzima 21 hidroxilasa. Otra causa importante de la insuficiencia suprarrenal primaria son las enfermedades infecciosas, en especial en los ...
Publication date: Available online 28 May 2020Source: Radiation Physics and ChemistryAuthor(s): Chen Ew-Jun, Tan Teik Hin, Chew Ming Tsuey
CONCLUSIONS: These correlates should be confirmed in other studies and, if supported, should be considered in the promotion and design of urban trails. PMID: 32464596 [PubMed - as supplied by publisher]
Publication date: Available online 29 May 2020Source: Physiology &BehaviorAuthor(s): André O. Werneck, Diego G.D. Christofaro, Raphael M. Ritti-Dias, Gabriel G. Cucato, Brendon Stubbs, Adewale L. Oyeyemi, Raquel D.O. Conceição, Raul D. Santos, Márcio S. Bittencourt
Publication date: 15 October 2020Source: Journal of Molecular Structure, Volume 1218Author(s): K. Aswaniya, M.B. Jessie Raj, S. Gowri, G. Vinitha
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