DocumentsDate added
Case report
Lakshmi Kant Pathak.1,*, MD, MRCP, FACP, Chirag Chavda2.,MD, Mohamed Mohamed,1,±, MD, Vimala Vijayaraghavan3, MD
Affiliation:
1,*,±Sanford Medical Center, University of North Dakota, Fargo, USA
2Methodist Health system, Dallas, USA
3Caribbean Medical University, Chicago, USA
The name of the department(s) and institution(s) to which the work should be attributed:
1.Sanford Medical Center, University Of North Dakota, Fargo, USA
2.Methodist Health system, Dallas, USA
3.Caribbean Medical University, Chicago, USA
Address reprint requests to
Dr Lakshmi Kant Pathak, MD, MRCP, FACP
Sanford Medical Center, University of North Dakota, Fargo, USA
Article citation:
Pathak LK,Chavda C,Mohamed M,Vijayaraghavan V. The idiom, laughter is the best medicine is not always true. Takotsubo Cardiomyopathy precipitated by positive emotion, recurrence in the patient. Understanding the facts and review of literature. J Pharm Biomed Sci. 2015; 05(02):131-133. Available at www.jpbms.info
ABSTRACT:
Takotsubo Cardiomyopathy is a rare but well described entity. The disease is also known as stress induced cardiomyopathy or apical ballooning syndrome. As the name implies, it is usually but not always associated with an antecedent stressful event. Almost all cases of Takotsubo cardiomyopathy are triggered by negative stressors such as anger, grief, and anxiety. Some cases are triggered by physical exertion. Complete recovery is the most common outcome and recurrence is very rare. It is also called broken heart syndrome.
It mimics acute coronary syndrome and the correct diagnosis is based on angiographic finding of apical ballooning in the absence of significant coronary obstruction.
This article reports a unique case of recurrence of Takotsubo cardiomyopathy not described before triggered by a positive emotion in the same patient. To our knowledge, this is the only case report of recurrence twice following positive emotion as the trigger in the same patient. This patient condition on the contrary can be called "happy heart syndrome" or may be “laughter disaster”.
The patient had an uneventful course following both episodes.
The article also reviews briefly the literature available on etiology, pathogenesis andprognosis..
KEYWORDS: Takotsubo cardiomyopathy; recurrence; positive emotions; LV dysfunction.
Statement of Originality of work: The manuscript has been read and approved by all the authors, the requirements for authorship have been met, and that each author believes that the manuscript represents honest and original work.
REFERENCES
1."Happiness" and stress cardiomyopathy (apical ballooning syndrome/Takotsubo syndrome) Int J Cardiol. 2014;172(1):e182-3. doi: 10.1016/j.ijcard.2013.12.140. Epub 2014 Jan 4.
2.Takotsubo cardiomyopathy or transient left ventricular apical ballooning syndrome: A systematic review. Pilgrim TM, Wyss TR. Int J Cardiol. Mar 14 2008; 124(3):283-92.
3.Singh K, Carson K, Usmani Z, et al. Systematic review and meta-analysis of incidence and correlates of recurrence of Takotsubo cardiomyopathy. Int J Cardiol. Jul 1 2014; 174(3):696-701.
4.Kawai S, Kitabatake A, Tomoike H. Guidelines for diagnosis of Takotsubo cardiomyopathy. Circ J. Jun 2007; 71(6):990-2.
Source of funding: None
Competing interest / Conflict of interest: The author(s) have no competing interests for financial support, publication of this research, patents and royalties through this collaborative research. All authors were equally involved in discussed research work. There is no financial conflict with the subject matter discussed in the manuscript.
Disclaimer: Any views expressed in this paper are those of the authors and do not reflect the official policy or position of the Department of Defense.
Copyright © 2015 Pathak LK, Chavda C, Mohamed M, Vijayaraghavan V. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Original article
Swarupjit Ghata1,*, Dharmendra Dugar2, Ranjit Kumar Mishra3, Ramji Khetri2,Tim Houghton T1
Affiliation:
1Third Year P.G Student, 2Associate professor, 3Professor and Head , Department of General Surgery, Hi-Tech Medical College and Hospital, Bhubaneswar, Odisha, India
The name of the department(s) and institution(s) to which the work should be attributed:
Department of General Surgery, Hi-Tech Medical College and Hospital, Bhubaneswar, Odisha, India
Address reprint requests to
Dr.Swarupjit Ghata,
Third Year P.G Student,
Department of General Surgery, Hi-Tech Medical College and Hospital, Bhubaneswar, Odisha, India
Article citation: Ghata S, Dugar D, Mishra R K, Khetri R, Tim HT. Study of port site complications in laparoscopic surgeries. J Pharm Biomed Sci. 2015; 05(02):134-138. Available at www.jpbms.info
ABSTRACT: Background: The approach to surgical treatment underwent a paradigm shift in 1987. Mouret performed the first human laparoscopic cholecystectomy in France in 1987 and now has become the gold standard treatment for patients suffering from cholelithiasis. Laparoscopic surgery became the standard care for many gynecological and surgical conditions with documented benefits and excellent outcome. In addition to the general complications of surgery and anesthesia, laparoscopy has unique complications relating to abdominal entry and surgical instrumentation. The early innovators and early adopters have identified such risks and complications associated with such procedures and analyzed them.
Material & method: It is a prospective study on complications of the port site in laparoscopic surgeries. The data collection for our study included patients from Hi-Tech medical college and hospital, Bhubaneswar, Odisha during the period June 2012- December 2014. All the complications encountered while creating ports in laparoscopic surgeries were studied. Complications related to faulty techniques and due to human error were taken into account and studied.
Results: In our study 100 different patients posted for laparoscopic surgeries in Hi-Tech medical college and hospital were studied to evaluate the port site complications in laparoscopic surgeries. In our study, out of 100 patients, 55 were male and 45 were female. Out of the 100 patients, there were 9 patients who had complications. Highest number of complications was seen in patients of 60 to 79 years of age. Thus, it was inferred that old patients who already had less immunity and who were suffering from other co-morbid conditions were at increased risk of complications from laparoscopic surgeries. Out of the 9 complications, 7 were post-operative, 1 occurred while maintaining the port during surgery and 1 occurred while creating port.
Conclusion: Laparoscopic surgery introduces to the new set of risks such as trocar injury, cardiovascular problems and damage to the bowel and major vessels that are rarely if ever encountered in open surgeries. Laparoscopic surgeries by inexperienced surgeons should be discouraged. All the training institutes should have a protocol to train, access, accredit the trained. All the surgeries should be recorded and analyzed to identify the cause of the complications noted and ways to avoid them. Working with a team makes a good sense.
KEYWORDS: Laparoscopy [Lap]; Port site complications; Trocar injury; bowel injury; vessel injury.
REFERENCES
1.Hasson HM. A modified instrument and method for laparoscopy. Am J Obstet Gynecol. 1971;110:886-887
2.Tonouchi H, Ohmori Y, Kobayashi M, Kusunoki M. Trocar site hernia. Arch Surg. 2004;139:1248-1256
3.Molloy D, Kaloo PD, Cooper M, Nguyen TV. Laparoscopic entry: A literature review and analysis of techniques and complications of primary port entry. Aust N Z J Obstet Gynaecol. 2002;42:246-54
4.Jansen,F. W., Kapiteyn, K., Trimbos-Kemper, T., Hermans, J. and Trimbos, J. B. (1997), Complications of laparoscopy: a prospective multicentre observational study. BJOG,104:595-600
5.Bonjer HJ, Hazebroek EJ, Kazemier G, et al. Open versus closed establishment of pneumoperitoneum in laparoscopic surgery. Br J Surg. 1997;84(5):599-602
6.El-Banna M, Abdel-Atty M, El-Meteini M, Aly S. Management of laparoscopic-related bowel injuries. Surg Endosc. 2000;14(9):779-82
7.Boni L, Benevento A, Rovera F, et al. Infective complications in laparoscopic surgery. Surg Infect (Larchmt) 2006;7:109-11
8.Berger D, Bientzle M, Muller A. Postoperative complications after laparoscopic incisional hernia repair. Incidence and treatment. Surg Endosc 2002;16(12):1720-1723.
Source of funding: None
Competing interest / Conflict of interest: The author(s) have no competing interests for financial support, publication of this research, patents and royalties through this collaborative research. All authors were equally involved in discussed research work. There is no financial conflict with the subject matter discussed in the manuscript.
Statement of Originality of work: The manuscript has been read and approved by all the authors, the requirements for authorship have been met, and that each author believes that the manuscript represents honest and original work.
Disclaimer: Any views expressed in this paper are those of the authors and do not reflect the official policy or position of the Department of Defense.
Copyright © 2015 Ghata S, Dugar D, Mishra R K, Khetri R, Tim HT. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Original article
Vinit Kumar1, Sonam Birtharey1, Neha Gupta1, Krishna K Yadav1,*,Sanjay K Vishwakarma2
Affiliation:
1Institute of Environment and Development Studies, Bundelkhand University, Jhansi, U.P., India
2Department of Biotechnology, Microtek Institute of Technology and Management, Varanasi, U.P., India
The name of the department(s) and institution(s) to which the work should be attributed:
1.Institute of Environment and Development Studies, Bundelkhand University, Jhansi, U.P., India
2.Department of Biotechnology, Microtek Institute of Technology and Management, Varanasi, U.P., India
Address reprint requests to
*Krishna Kumar Yadav.
Institute of Environment and Development Studies, Bundelkhand University, Jhansi, U.P., India
Article citation:
Kumar V, Birtharey S, Gupta N, Yadav KK, Vishwakarma SK. Study of Biomedical waste generation and management by government and private hospitals in Jhansi City(U.P.), India. J Pharm Biomed Sci. 2015; 05(02):122-125. Available at www.jpbms.info
ABSTRACT:
All over the country, unsegregated and untreated biomedical waste is being indiscriminately discarded into municipal bins, dump site, road side and in water bodies or is being incompletely and improperly burnt in open. All this is leading to rapid proliferation and spreading many infectious, dangerous and fatal communicable diseases like hepatitis, AIDS and several types of cancers. In urban and rural areas alike, incidence and prevalence of several such human diseases has increased and the per capita medical expenditure has also gone high several folds. In present study, biomedical waste was collected from different government and private hospitals of Jhansi city. After collection, different method of safe disposal of these wastes are tried and found suitable for biomedical waste management.
KEYWORDS: Biomedical waste; Government; Health Care, Hospital;Jhansi, Management; Private.
Statement of Originality of work: The manuscript has been read and approved by all the authors, the requirements for authorship have been met, and that each author believes that the manuscript represents honest and original work.
REFERENCES
1.Sigsgaard T, Malmros P, Nersting L, Petersen C. Respiratory disorders and atopy in Danish refuse workers. American Journal of Respiratory and Critical Care Medicine. 1994;149(6):1407–1412.
2.Ray MR, Roychoudhury S, Mukherjee G, Roy S, Lahiri T. Respiratory and general heal impairments of workers employed in a municipal solid waste disposal at an open landfill site in Delhi. International Journal of Hygiene and Environmental Health. 2005;208(4):255–262.
3.Becher S, Lichtnecker H. Immunological aspects and affections of rubbish collectors caused by bioaerosols. Journal of Occupational Health. 2002;44(3):125–130.
4.Ministry of Environment and Forests, Government of India. Draft Bio-Medical Waste (Management and Handling) Rules. 2011. Available from: http://moef.nic.in/downloads/public- information/salient-features-draft-bmwmh.pdf.
5.Jahnavi G, Raju PV. Awareness and training need of biomedical waste management among undergraduate students, Andhra Pradesh. Indian Journal of Public Health. 2006;50(1):53-54.
6.Hanumantha Rao P. Hospital waste management system - a case study of a south Indian city. Waste Management and Research. 2009; 27(4): 313-321.
7.Katoch SS. Biomedical Waste Classification and Prevailing Management Strategies. Proceedings of the International Conference on Sustainable Solid Waste Management; 2007 Sep 5-7; Chennai, India.
8.Sharma S, Chauhan SVS. Assessment of bio-medical waste management in three apex Government hospitals of Agra, Journal of Environmental Biology. 2008;29(2):159-162.
9.Kela M, Nazareth S, Goel A, Agarwal R. Managing Hospital Waste: A Guide for Health-Care Facilities. New Delhi: Excellent Printing House; 1998.
10.Kelkar R. A practical approach to hospital waste management in India. Industrial Safety Chronicle. 1998;67–70.
11.Machala Z, Janda M, Hensel K, Jedlovsky I, Lestinska L, Foltin V, et al. Emission spectroscopy of atmospheric pressure plasmas for bio-medical and environmental applications. Journal of Molecular Spectroscopy. 2007;243(2):194-201.
12.Becher S, Lichtnecker H. Immunological aspects and affections of rubbish collectors caused by bioaerosols. Journal of Occupational Health. 2002;44:125–130.
13.Massrouje HT. Medical waste and health workers in Gaza governorates. Eastern Mediterranean Health Journal. 2001;7(6):1017–1024.
14.World Health Organization (WHO). Aide-Memoire for a national strategy for healthcare waste management. 2011; Available From: http://www.healthcarewaste.org/resources/ introduction/.
15.Abah SO, Ohimain EI. Healthcare waste management in Nigeria: A case study. Journal of Public Health and Epidemiology. 2011;3(3):99-110.
16.Rasheed S, Iqbal S, Baig LA, Mufti K. Hospital waste management in the teaching hospitals of Karachi. Journal of Pakistan Medical Association. 2005;55(5):192-195.
17.Da Silva CE, Hoppe AE, Ravanello MM, Mello N. Medical waste management in the south of Brazil. Waste Management. 2005;25(6):600-605.
Source of funding: None
Competing interest / Conflict of interest: The author(s) have no competing interests for financial support, publication of this research, patents and royalties through this collaborative research. All authors were equally involved in discussed research work. There is no financial conflict with the subject matter discussed in the manuscript.
Copyright © 2015. Kumar V, Birtharey S, Gupta N, Yadav KK, Vishwakarma SK. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Case report
Veeranjaneyulu.P1,*.,MS(ENT),DLO, Ajay K Yadlapalli1,¥.,MS(ENT), Santosh K Batchu1,¥.,MS(ENT), Amjad Khan1,£.,MBBS, Rachana Chollangi1,£.,MBBS
Affiliation:
1Professor &Head,1,¥ Assistant Professor,1,£Junior resident, Department of ENT, GSL medical college, Rajahmundry, Andhra Pradesh, India
The name of the department(s) and institution(s) to which the work should be attributed:
Department of ENT, GSL medical college, Rajahmundry, Andhra Pradesh, India
Address reprint requests to
Dr. Veeranjaneyulu .P,
Professor and Head, Dept of ENT, GSL medical college, Rajanagaram, Rajahmundry, Andhrapradesh–533 296, India
Article citation:
Veeranjaneyulu P,Yadlapalli AK, Batchu SK, Khan A, Chollangi R. Recurrent nasopharyngeal angiofibroma: Endoscopic excision. J Pharm Biomed Sci. 2015; 05(02):104-109. Available at www.jpbms.info
ABSTRACT:
Juvenile Nasopharyngeal Angiofibroma (JNA) is a benign vascular neoplasm, the etiologic origin of which remains elusive. It comprises less than 0.5 % of all head and neck tumours. It occurs exclusively in males usually in the adolescent age.
Surgical excision, preferably with a preoperative embolisation,is the complete treatment of choice though recurrences are a rare possibility. Recurrence rate ranges from 6% to 27.5 %.
Endoscopic excision is done in some tumours of limited extension because of the benign nature of the neoplasm and its location in a cosmetically sensitive zone.
Here, we present a case of recurrent nasopharyngeal angiofibroma in a male patient of 16 yrs for whom endoscopic excision was done and there was no further recurrence, followed by the discussion on the etiologies, clinical features and the treatment modalities of nasopharyngeal angiofibroma.
KEYWORDS: Angiofibroma; Benign; Gammaknife surgery; Juvenile nasopharyngeal angiofibroma; Endoscopic excision; Nasopharynx; Recurrence; Vascular neoplasm; lasers; coblation; radiation therapy.
Statement of Originality of work: The manuscript has been read and approved by all the authors, the requirements for authorship have been met, and that each author believes that the manuscript represents honest and original work.
REFERENCES
1.Naresh K. Panda ,et al., Nasopharyngeal Angiofibroma-changing Trends in the management, Indian J Otolaryngol Head Neck Surg. Sep 2012; 64(3): 233–239.
2.Hayes Martin et al., Juvenile Nasopharyngeal Angiofibroma, Ann Surg. Mar. 1948; 127(3): 513–536.
3.John Hibbert, O.H.Shaheen, Angiofibroma, Scott-Brown’s Otolaryngology, Sixth edition, 5/ 12/ 2,(1997), Butterworth – Heinemann International Edition, ISBN 0 7506 2368 3.
4.Madhavan Nirmal R, Veeravarmal V, Santha Devy A, Ramachandran CR., Unusual presentation of nasopharyngeal (juvenile) angiofibroma in a 45 year old female, Indian J Dent Res. 2004 Oct-Dec;15(4):145-8.
5.Legouest, C.: Proceedings of Surgical Society of Paris, I865.
6.Som PM, Curtin HD. Head and Neck Imaging, Volume 1 und. Mosby. (2003) ISBN:0323009425.
7.Cummings BJ, Blend R, Keane T, et al: Primary radiation therapy for juvenile nasopharyngeal angiofibroma. Laryngoscope 94: 1599-1605, 1984.
8.Paris J1, Guelfucci B, Moulin G, Zanaret M, Triglia JM, Diagnosis and treatment of juvenile nasopharyngeal angiofibroma., Eur Arch Otorhinolaryngol. 2001 Mar;258(3):120-4.
9.AJ Kinshuck, RW Clarke, The Otorhinolaryngologist 2012; 5(3): 133–138.
10.Mehmet Fatih Garça, Sevil Ari Yuca, Köksal Yuca, Juvenile Nasopharyngeal Angiofibroma, Eur J Gen Med 2010;7(4):419-425
11.Mann WJ, Jecker P, Amedee RG, Juvenile angiofibromas: changing surgical concept over the last 20 years., Laryngoscope. 2004 Feb;114(2):291-3.,
12.Enepekides DJ., Recent advances in the treatment of juvenile angiofibroma.,Curr Opin Otolaryngol Head Neck Surg. 2004 Dec;12(6):495-9.
13.Wormald PJ, Van Hasselt A, Endoscopic removal of juvenile angiofibromas, Otolaryngol Head Neck Surg. 2003 Dec;129(6):684-91.
14.Cannon DE, Poetker DM, Loehrl TA, Chun RH, Use of coblation in resection of juvenile nasopharyngeal angiofibroma.,Ann Otol Rhinol Laryngol. 2013 Jun;122(6):353-7.
15.Mair EA, Battiata A, Casler JD, Endoscopic laser-assisted excision of juvenile nasopharyngeal angiofibromas., Arch Otolaryngol Head Neck Surg. 2003 Apr;129(4):454-9.
16.Nakamura H, Kawasaki M, Higuchi Y, Seki S,Takahashi S, Transnasal endoscopic resection of juvenile nasopharyngeal angiofibroma with KTP laser, Eur Arch Otorhinolaryngol. 1999;256(4):212-4.
17.Chul-Kee Park, Dong Gyu Kim,Sun Ha Paek, Hyun-Tai Chung,Hee-Won Jung., J Korean Med Sci 2006; 21: 773-7.
18.Piero Nicolai, Alberto Schreiber, and Andrea Bolzoni Villaret, “Juvenile Angiofibroma: Evolution of Management,” International Journal of Pediatrics, vol. 2012, Article ID 412545, 11 pages, 2012. doi:10.1155/2012/412545.
19.Fields JN, Halverson KJ, Devineni VR, Simpson JR, Perez CA, Juvenile nasopharyngeal angiofibroma: efficacy of radiation therapy., Radiology. 1990 Jul;176(1):263-5.
20.Lawrence S. Weprin, MD; Paul T. Siemers, MD,Arch Otolaryngol Head Neck Surg. 1991;117(7):796-799.
21.Anna Szymańska, Marcin Szymański, Kamal Morshed, Elżbieta Czekajska-Chehab et al, Extranasopharyngeal angiofibroma: clinical and radiological presentation, Eur Arch Otorhinolaryngol. Feb 2013; 270(2): 655–660.
22.Howard DJ, Lloyd G, Lund V, Recurrence and its avoidance in juvenile angiofibromaLaryngoscope. 2001 Sep;111(9):1509-11.
Source of funding: None
Competing interest / Conflict of interest
The author(s) have no competing interests for financial support, publication of this research, patents and royalties through this collaborative research. All authors were equally involved in discussed research work. There is no financial conflict with the subject matter discussed in the manuscript.
Disclaimer: Any views expressed in this paper are those of the authors and do not reflect the official policy or position of the Department of Defense.
Copyright © 2015. Veeranjaneyulu P,Yadlapalli AK, Batchu SK, Khan A, Chollangi R.. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Original article
Hosuru Subramanya Supram*, Binita Koirala, Anupriya Rani, Shashir Gokhale,
Dharma raj Bhatta
Affiliation:-
Department of Microbiology, Manipal College of Medical Science, Pokhara, Nepal
The name of the department(s) and institution(s) to which the work should be attributed:
Department of Microbiology, Manipal College of Medical Science, Pokhara, Nepal
Address reprint requests to
Hosuru Subramanya Supram
Lecturer, Department of Medical Microbiology,
Manipal College of Medical Sciences, Pokhara, Nepal
Article citation:
Supram HS,Koirala B,Rani A, Gokhale S,Bhatta DR. Prevalence of intestinal parasitic infections in a tertiary care center at western Nepal: Five years retrospective study. J Pharm Biomed Sci.2015;05(02):154-159.Available at www.jpbms.info
ABSTRACT
Introduction: Parasitic infestations are the major causes of morbidity and mortality in developing countries like Nepal. It is an established fact that intestinal parasitic infections can lead to a number of adverse effects like anemia, reduced physical growth, abdominal colic, cholestasis, cholecystitis and pancreatitis. This study aims to assess the distribution pattern of intestinal parasites among patients attending Manipal Teaching Hospital.
Method: A retrospective study of results of stool samples analysis was carried out for intestinal parasite examination in a tertiary care Hospital, Pokhara. The records were collected from Microbiology Laboratory for a period of five years (2009 to 2013).
Result: Eight different types of parasites were encountered. The most common parasite Giardia lamblia, accounted for 140 (46.36%) followed by Entamoeba histolytica 53 (17.55%), Ancylostoma duodenale 30 (9.93%), Ascaris lumbricoides 22 (7.28%), Trichuris trichuria 22 (7.28%), Hymenolepsis nana 19 (6.29%), Taenia species9 (2.98%), and Strongyloides stercoralis 7 (2.32%). In our study the prevalence of intestinal parasitic infection is low.
Conclusion: The notable finding from this study is the high prevalence of Giardiasis. Since parasitic infestations are important public health problem, it is necessary to develop effective prevention and control strategies including health education and environmental hygiene.
KEYWORDS: Intestinal parasites, parasitic infestations, western Nepal.
Source of support: None
Competing interest / Conflict of interest
The author(s) have no competing interests for financial support, publication of this research, patents and royalties through this collaborative research. All authors were equally involved in discussed research work. There is no financial conflict with the subject matter discussed in the manuscript.
References:
1.M. Endris, Z. Tekeste, W. Lemma, and A. Kassu, Comparison of the Kato-Katz, Wet Mount, and Formol-Ether concentration diagnostic techniques for intestinal helminth infections in Ethiopia, ISRN Parasitology,2013;2013:5.
2.Montressor A, Crompton DWT, Hall A, Bundy DAP and Savioli L. Guidelines for evaluation of soil transmitted Helminthiasis and schistosoiasis at community level Geneva; world Health organization WHO/CTC/SIP/98.\
3.Albonico M, Cromptom DWT, and Savioli L Control strategies for human intestinal helminth infections Adv. Parasitol 1999;42:276 –341
4.Eligail AM, Masawi AM, Al-Jaser NM, Abdelrahman KA, Shah AH. Auditof stool analysis results to ensure the prevalence of common types of intestinal parasites in Riyadh region, Saudi Arabia. Saudi J Biolog Sci. 2010; 17:1-4.
5.Rai SK, Hirai K, Abe A, et al. Intestinal parasitosis among school children in a rural hilly area of Dhading district, Nepal. Nepal Med College J 2002;4: 54-8.
6.Estevez EG, Levine JA, Warren J. Intestinal parasites in a remote village in Nepal. J Clin Microbiol 1983; 17: 160-1.
7.Rai SK, Gurung CK. Intestinal parasitic infection in high school children of Birgunj city. J Inst Med (Nepal) 1986;8:33-8.
8.Obiamiwe, B.A. The pattern of parasitic infection in human gut at the specialist hospital Benin City, Nigeria. Annals of Tropical Medicine and Parasitology.1973;71:35-43.
9.Chatterjee KD, Parasitology: 12th ed, Chatterjee Medical Publishers, Calcutta, India, 1995:211.
10.Cheesbrough M, Medical Laboratory Manual for Tropical Countries: Techniques used to identify parasites, London, Butterworths. 1987; 2:178-97.
11.Rai SK, Bajracharya K, Budhathoki S et al. Status of intestinal parasitosis at TU Teaching Hospital. J Inst Med (Nepal).1995;17:134-42.
12.Rai CK, Shrestha A, Shah RDP, Rai SK. Study of intestinal parasitosis among patients visiting health care centre in Kathmandu valley. J Nepal Assoc Med Lab Sci. 2007;8:33-6.
13.Shakya B, Bhargava D, Shrestha S, Rijal BP. Intestional parasitosis. J Inst Med (Nepal).2009;31:13-6.
14.Ishiyama S, Rai SK, Ono K, Uga S. Small scale study on intestinal parasitosis in a remote hilly village in Nepal. Nepal Med Coll J. 2003;5:28-30.
15.Rai Sk, Matsumara T, Ono k et al. Intestinal parasitosis in an "Unknown disease outbreak" hit rural hilly area in western Nepal. Nepal Med Coll J. 2000; 2:61- 4.
16.Bansal D, Sehgal R, Bhatti HS et al. Intestinal parasites and intra familial incidence in a low socio– economic area of Chandigarh (North India). Nepal Med Coll J. 2004; 6:28-31.
17.Rai K, Sherchand JB, Bhatta DR. Study of enteropathogens and its predisposing factors in astroenteritis suspected children attending Kanti children Hospital, Kathmandu, Nepal. J Nepal Assoc Med Lab Sci. 2004; 6:48-53.
21.Baragundi MC, Sonth SB, Solabannwar S, Patil CS, The Prevalence of parasitic infections in patients attending tertiary care Hospital, National Journal of Basic Medical Sciences. 2011;2(1):31-34.
22.Norhayati M, Fatmah MS, Yusof S, Edariah AB, Intestinal parasitic infections in Man: A review, Med J Malaysia. 2003; 58(2):296-305.
23.Bdir S, Adwan G, Prevalence of intestinal parasitic infections in Jenin Governorate, Palestine: a 10 years retrospective study, Asian Pacific Journal of Tropical Medicine. 2010:745-47.
24.Tariq MM, Zahid FB, Frequency and pattern of intestinal parasitic infestation in upper Neelum Valley, Pakistan Armed Forces Medical Journal. 2006;4:1-5.
25.Deorukhkar S, Katiyar R, Saini S, Siddiqui AV, The Prevalence of intestinal parasitic infections in HIV infected patients in a rural tertiary care Hospital of Western Maharashtra, Journal of Clinical and Diagnostic Research.2011;5(2):210-12.
26.Hall A, Crompton DWT, Stephenson LS, Wolgemuth JC. Intestinal parasitic infections of men in four regions of rural Kenya. Trans Royal Soc Trop Hyg. 1982;76(6):728–733.
27.Frederick Olusegun Akinbo, Christopher Ehis Okaka, and Richard Omoregie. Seasonal Variation of Intestinal Parasitic Infections Among HIV-Positive Patients in Benin City, Nigeria. Ethiop J Health Sci. Nov 2011; 21(3): 191–194.
20.Shrihari N, Kumudini T.SD., Mariraj J, Krishna S. The Prevalence of Intestinal Parasitic Infections in a Tertiary Care Hospital-a retrospective study. J Pharm Biomed Sci.(JPBMS)2011;12(08):1-4. Accessed at www.jpbms.info.
Copyright © 2015. Supram HS,Koirala B,Rani A, Gokhale S,Bhatta DR. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.