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...
Source: Going Global - Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

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Authors: Rombauts A, Abelenda-Alonso G, Cuervo G, Gudiol C, Carratalà J Abstract INTRODUCTION: Despite adequate antibiotic coverage, community-acquired pneumonia (CAP) remains a leading cause of hospitalization and mortality worldwide. It induces both a local pulmonary and a systemic inflammatory response, particularly significant in severe cases. The intensity of the dysregulated host response varies from patient to patient and has a negative impact on survival and other outcomes. AREAS COVERED: This comprehensive review summarizes the pathophysiological aspects of the inflammatory response in CAP, brie...
Source: Expert Review of Anti-Infective Therapy - Category: Infectious Diseases Tags: Expert Rev Anti Infect Ther Source Type: research
CONCLUSIONS: Xyloglucan/gelose plus ORS was effective and safe in treating acute diarrhea in children. PMID: 33028102 [PubMed - as supplied by publisher]
Source: Expert Review of Gastroenterology and Hepatology - Category: Gastroenterology Tags: Expert Rev Gastroenterol Hepatol Source Type: research
CONCLUSIONS: Immunohistochemistry seems to be a promising option not only in clinical recognition, but also in the selection and monitoring of treatment effects. However, these methods have not yet recommended for routine clinical use. PMID: 33032462 [PubMed - as supplied by publisher]
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Publication date: October 2020Source: Brain, Behavior, and Immunity, Volume 89Author(s): Xiaoqin Liu, Trine Munk-Olsen, Clara Albiñana, Bjarni J. Vilhjálmsson, Emil M. Pedersen, Vivi Schlünssen, Marie Bækvad-Hansen, Jonas Bybjerg-Grauholm, Merete Nordentoft, Anders D. Børglum, Thomas Werge, David M. Hougaard, Preben B. Mortensen, Esben Agerbo
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