Facts

Demographic Statistics Of Nepal

Population: 28,563,377 (July 2009 est.) Age structure: 0-14 years: 36.6% (male 5,327,484/female 5,127,178) 15-64 years: 59.2% (male 8,094,494/female 8,812,675) 65 years and over: 4.2% (male 566,666/female 634,880) (2009 est.) Population growth rate: 1.281% Birth rate: 23.18 births/1,000 population (2009 est.) Death rate: 6.97 deaths/1,000 population (July 2009 est.) Net migration rate: -3.39 migrant(s)/1,000 population (2009 […]

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Pharmacology

ORGANOPHOSPHORUS POISONING

ORGANOPHOSPHORUS POISONING -OP compounds are widely used as pesticides, for eradication of vectors. Malathion,Fenthion,Methamidophos,Diazinon,Chlorpyrifos,Parathion are the common insecticides. CLINICAL PRESENTATION Acute cholinergic syndrome:- occur within minutes of exposure. Pungent garlic like odour in breath, vomit and clothing; Muscarinic effects -miosis , bronchorrhoea, bronchospasm, salivation , lacrimation , abdominal pain , bradycardia Nicotinic effects- Muscle fasciculation, […]

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Paediatrics Respiratory System

AN APPROACH TO A CHILD WITH WHEEZE

AN APPROACH TO A CHILD WITH WHEEZE WHEEZES OR RONCHI: Wheeze is a dry musical sound associated with airway narrowing. The expiration is prolonged. WHEEZING: Common in infants and young children because of unique age specific anatomic and physiologic properties and gender specific intrinsic lung characteristics. By year 1- 20 % children. By 3 years- […]

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Presentations

Alcohol Related Disorders

Alcohol  are hydroxy derivatives of aliphatic hydrocarbons. Manufacture: C6H12 O6 (sugar) —-zymase—-> 2 CO2+ 2C 2 H 5 OH Metabolism of Alcohol: Alcohol is metabolized in liver by alcohol dehydrogenase 90% – processed in liver 10% – excreted (eliminated unchanged from kidneys and lungs) Absorption mostly from small intestine and only 10% from stomach. Peak effect […]

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Presentations Psychiatry

DISSOCIATIVE DISORDER

Dissociative disorder:- (conversion disorder) is a partial or complete loss of the normal integration between memories of the past, awareness of identity and immediate sensations, and control of bodily movements. Previously known as conversion hysteria. EPIDEMIOLOGY:- According to DSM-IV-TR ( 11 to 500 cases per 100,000 population) Women :men (adult ) 2-10:1 and among children […]

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Facts

Color of Awareness Ribbons and their Meaning

Ribbon is no more just a narrow strip. The first ribbon that was represented as a meaningful object in history was the yellow ribbon that was mentioned in a marching song sung by the military in the USA. A specific cause is symbolized by a particular color of awareness ribbon and drawing attention to a specific cause […]

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Ebooks

Free Medical Ebooks Download Part I

Includes following books. Atlas of Functional Neuroanatomy, Second Edition Biology 4 Volume Set _ Macmillan Science Library Biomechanical Systems Techniques and Applications Musculoskeletal Models & Techniques Evidence Based Sports Medicine Handbook of Parkinson’s Disease, Third Edition How to write & publish scientific paper Marks’ Basic Medical Biochemistry A Clinical Approach – a clinical approach (2004) […]

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Photo Gallery

Inside OT : Orthopedic Operation gallery

A Gallery of difficult Orthopedic procedure inside operation theater of Nepal Medical College and Teaching Hospital, Kathmandu and some tools and instruments used during the operation.

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Dermatology

Pemphigus Vulgaris : A Vesiculobullous Disease

Overview: Derieved : Greek word pemphix meaning bubble. Named by Wichman in 1791. Pemphigus refers to a group of autoimmune blistering diseases of the skin and mucous membranes characterized by formation of flaccid bullae. . Pathophysiology Mediated by circulating autoantibodies directed against keratinocyte cell surfaces. Binding of IgG autoantibodies to keratinocyte desmosomes and to desmosome-free […]

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