4 results match your criteria: "Civil Services Hospital[Affiliation]"

Neglected wooden foreign body in the parotid gland: A case report.

SAGE Open Med Case Rep

December 2022

Department of Otorhinolaryngology, Civil Services Hospital, Kathmandu, Nepal.

Foreign body anywhere in the body can be a diagnostic challenge to a doctor, especially if it is wooden and hardly symptomatic. A foreign body in the parotid gland, whether from the oral cavity or through the skin is extremely uncommon. We are presenting a case of a wooden foreign body in the parotid gland of a 61-year-old patient who did not want to be examined or treated initially as it was not causing him any troublesome symptoms.

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Background: Lung cancer is the most common cancer worldwide and in Nepal. Non small cell carcinoma is the commoner histological type. The incidence of adenocarcinoma subtype is increasing globally.

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The interplay between bacterial antimicrobial susceptibility, phylogenetics and patient outcome is poorly understood. During a typhoid clinical treatment trial in Nepal, we observed several treatment failures and isolated highly fluoroquinolone-resistant Salmonella Typhi (S. Typhi).

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Gatifloxacin versus ceftriaxone for uncomplicated enteric fever in Nepal: an open-label, two-centre, randomised controlled trial.

Lancet Infect Dis

May 2016

The Hospital for Tropical Diseases, Wellcome Trust Major Overseas Programme, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam; Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, Oxford University, Oxford, UK; Department of Zoology, Oxford University, Oxford, UK.

Background: Because treatment with third-generation cephalosporins is associated with slow clinical improvement and high relapse burden for enteric fever, whereas the fluoroquinolone gatifloxacin is associated with rapid fever clearance and low relapse burden, we postulated that gatifloxacin would be superior to the cephalosporin ceftriaxone in treating enteric fever.

Methods: We did an open-label, randomised, controlled, superiority trial at two hospitals in the Kathmandu valley, Nepal. Eligible participants were children (aged 2-13 years) and adult (aged 14-45 years) with criteria for suspected enteric fever (body temperature ≥38·0°C for ≥4 days without a focus of infection).

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