Outcome One hundred and sixty five clients providing with reputation for ingestion of foreign body selleck chemical had been within the research. The mean age of the customers had been 46.8 ± 19.1 years with male predominance (60%). The most common site of foreign human anatomy impaction had been oesophagus (70%). The most typical foreign body encountered was bone (62.2%) among which chicken bones (91.1percent) had been most popular. For the retrieval of sharp-pointed international bodies, rat forceps and graspers (45.7%) were most frequently made use of. Total 14 instances needed rigid oesophagoscopy since the foreign human body could never be retrieved by versatile endoscopy. Conclusion international body intake and its impaction when you look at the upper gastrointestinal area is found to be common in endoscopic practise. Early recognition and prompt removal of international figures is very important to avoid disquiet to your client along with to make certain successful removal without complications.Background Ductus arteriosus is a vascular construction which links the roof of main pulmonary artery close to the source associated with the left branch pulmonary artery to the proximal descending aorta. Patent ductus arteriosus (PDA) closure is suggested for just about any client who is symptomatic from left to right shunting. Unbiased to analyze the hospital effects of medical closure of patent ductus arteriosus over last 19 years beginning with the initial situation of our center. Method that is a retrospective analysis of all of the patent ductus arteriosus addressed surgically from August 2001 to July 2019. Clients who underwent separated surgical closure of patent ductus arteriosus had been included. Data have been provided in three different eras (Era 1 2001-2007, Era 2 2008-2013, and Era 3 2014-2019) to start to see the trend of development of this surgery. Outcome an overall total of 901 patients aged 8.67±8.76 many years under went patent ductus arteriosus surgical closing over last 19 years. Customers when you look at the initial era 2001-2007 were somewhat older weighed against other 2 eras (p=0.000). Guys taken into account 35.5% of all situations. Twenty percent had severe pulmonary artery hypertension.Duration of mechanical ventilation had been 3.57±9.64 hours with ICU stay of 1.55±1.53 days, and medical center stay of 3.9±2.3 days. Overall in medical center death was 0.8%; for isolated patent ductus arteriosus diagnosis, death had been 0.2%. Chylothorax ended up being mentioned in 0.4%. Conclusion This is the very first are accountable to analyze medical results of patent ductus arteriosus ligation in our center. We’ve talked about the development of patent ductus arteriosus surgery in our center, and possess shown positive results when it comes to morbidity and mortality.Background Cataract surgery which will be the sole scientific approach to treat cataracts features developed from large cuts of intracapsular cataract excision to extracapsular cataract exicison and from now on contemporary phacoemulsification. Anaesthesia too has progressed from basic anaesthesia to local and topical anaesthesia. Many different intraocular lenses can be obtained ranging from rigid to collapsible, multifocal and toric. Day-care surgeries are getting the norm these days. Unbiased Cataract surgery has advanced with brand-new strategies and modalities. We studied the trends of cataract surgery and results through the years. Method We performed secondary data analysis (National Eye Database) of cataract surgery patients in Hospital Melaka (2007 – 2014). Outcome Many customers were 60-69 many years (mean 65.0 years). Main cataract rose (p0.05) but postoperative eyesight revealed a growth in great effects (p less then 0.05). Conclusion Melaka Hospital shows a growth in phacoemulsification and a decline in Extracapsular Cataract Extraction. More patients given main cataracts. Even more Muscle biopsies Specialists run and there clearly was a decrease in intraoperative and postoperative problems. Post-operative visual results showed a remarkable enhancement. This improvement is within maintaining the aim of improved eyesight for all by 2020.Background Cardiopulmonary resuscitation may be the foundational technique for the disaster treatment of cardiac arrest plus the standardized education from it is emphasized as part of your. Competence of this nurses in this lifesaving treatment is a vital factor in patient result from cardiac arrest and will mostly avoid sudden death. Objective numerous evidences suggest not enough understanding on appropriate cardiopulmonary resuscitation among nurses therefore the aim of this study was to assess the knowledge on 2015 United states Heart Association guidelines upgrade for cardiopulmonary resuscitation among nurses working at University hospital also to Dynamic membrane bioreactor identify the partnership amongst the degree of knowledge and picked variables. Method 2 hundred and sixty nurses involved in Dhulikhel hospital participated in the analysis. A cross-sectional descriptive study ended up being performed utilizing a predesigned survey predicated on 2015 guidelines changes for cardiopulmonary resuscitation that incorporated total of 20 concerns. Outcome Total 260 participated in the research and all had been feminine. Only one third of the nurses had great knowledge regarding 2015 guidelines update for cardiopulmonary resuscitation. No considerable outcomes existed involving the knowledge score and age of the nurses, duration of work knowledge.