https://hdl.handle.net/20.500.14356/1954 Tue, 19 May 2026 21:39:29 GMT 2026-05-19T21:39:29Z https://hdl.handle.net/20.500.14356/2874 Title: Altemeier Rectosigmoidectomy for Strangulated Rectal Prolapse Authors: Bhandari, RS; Lakhey, PJ Abstract: NA Description: Case report Sat, 01 Oct 2011 00:00:00 GMT https://hdl.handle.net/20.500.14356/2874 2011-10-01T00:00:00Z https://hdl.handle.net/20.500.14356/1996 Title: Health System through the Eyes of a Doctor from Rural Nepal Authors: Hamal, P K; Shrimal, S R; Khadka, M; Sapkota, B; Thapa, J; Pariyar, J; Magar, A Abstract: Abstract Its almost 30 years of declaration of Alma-Ata for primary healthcare policy the health system in Nepal still facing shortage of trained medical doctors and health professionals reaching remote and rural part of the country to provide quality health services. There are number of issues such as financial or non-financial incentives, professional advancements, educational opportunities and workplace environment. Healthcare delivery system in Nepal is failing to meet the healthcare need of the general public and needs discussion and revision. However, despite of so many challenges more doctors are willing to work in the remote and rural Nepal. The government has to come out with effective planning and policy regarding health system and human resource for health. In this context, an attempt has been made for a analytical perspective from a medical doctor point of view to highlight some of the pertinent local and policy related issues to improve Health System in Nepal. Keywords: doctor, health, health system, Nepal, policy Description: Viewpoint Sat, 01 Jan 2011 00:00:00 GMT https://hdl.handle.net/20.500.14356/1996 2011-01-01T00:00:00Z https://hdl.handle.net/20.500.14356/1995 Title: Medical Practice in the Peripheral Health Centers in Nepal Authors: Sitaula, S; Magar, A Abstract: Abstract The Ministry of Health and Population has implemented a compulsory two year service contract in government health facilities for all the scholarship holders of the Ministry of Education. Doctors are now being deployed to all hospitals and primary health centers of the country. Prior to 2005 it was very difficult to send doctors to the peripheral part, and now they wish to go more remote area due to the privilege given to the National Academy of Medical Sciences Post Graduate Entrance Examination, which help them get MD/MS seat. However, there are more challenges due to weak health system and failure to implement established rule and regulation. This paper highlights the outcry of a doctor working in the remote part of the country. Description: Viewpoint Sat, 01 Jan 2011 00:00:00 GMT https://hdl.handle.net/20.500.14356/1995 2011-01-01T00:00:00Z https://hdl.handle.net/20.500.14356/1994 Title: Late Presentations of Congenital Diaphragmatic Hernia Authors: Bhandari, B B; Basnet, R B Abstract: Abstract The occurrence of congenital diaphragmatic hernia in adults is rare and misleading even to experienced clinicians. In contrast to neonatal diaphragmatic hernias, most of the adult patients present with vague gastrointestinal and respiratory symptoms mimicking other diseases. Hence high index of suspicion is required. When a diagnosis is established, it must be promptly treated surgically in order to avoid complications such as strangulation or bowel perforation. We present two cases of diaphragmatic hernia which were being managed as pulmonary pathologies. Keywords: bochdalek hernia, morgagni hernia Description: Case Report Sat, 01 Jan 2011 00:00:00 GMT https://hdl.handle.net/20.500.14356/1994 2011-01-01T00:00:00Z