Medical and Health Information

Dr. Rajan Poudel  MBBS(BS/MD) Health Care Team Leader at UN CAMMAY Volunteer 2020   Most common joint disease cause of disability in the elderly. Commonly affected joints are the cervical and lumbosacral spine, hip, knee and first MTP. –In the hands, the distal and proximal ITP’s and base of the thumb are often involved. –Wrist, elbow and ankles are usually spared. Risk factors include genetic disposition, age, injury, weight, stress on the joint, and previous surgery involving the joint. •Prevalence increases sharply for women after age 40 years and after age 50 for men. •Joint pain is activity-related, starting as episodic and progressing continuously with accompanying brief morning stiffness (<30 min) that gradually resolves. Diagnosis: –No blood tests are routinely indicated –Synovial fluid analysis reveals a non-inflammatory pattern –Joint imaging correlates poorly with presence and severity of pain: •May be normal in early stages. •Advanced stages may show joint space...

Dr. Rajan Poudel  MBBS(BS/MD) Health Care Team Leader at UN CAMMAY Volunteer 2020 This virus, we know, is mainly transmitted by respiratory droplets, and through contact, by getting into our mucosa, like our mouth, nose, and eyes. Although less common, it also can be transmitted through aerosol, meaning airborne. Most likely when you have people in an enclosed space, such as an elevator, and someone sneezes or coughs without covering their mouth, and someone else can inhale it in.  This virus attaches to cells in our body by this ACE2 receptor. This ACE2 receptor is only located on certain cells in our body. Its on our tongue, in our nose, back of the throat, and in our lungs. Specifically, within the lungs, its only located on our type II alveolar cells. We know that ARDS develops in about 4 to 5% of COVID-19 patients. And of all the people who get COVID19, the mortality rate is around 1 to 2%. So why do some COVID patients get ARDS, and why do some die? There are diffe...

If someone has a reliable pulse oximeter at home, and they know how to adequately use it, it can be beneficial for some people at this Coronavirus Pandemic. Having normal oxygen levels can be reassuring, although there is no guarantee that someone won't have a fast decline with their breathing status. Its quite possible that someone has normal oxygen levels, and can quickly progress to very low oxygen levels, sometimes that are life-threatening. And there are so many factors that come into play.  One is the quality of the pulse oximeter itself.  Two, how well the person is using it.  Three, various factors that artificially raise or lower the reading of the pulse oximeter, and Most Importantly, the different factors that have to do with the person, such as what underlying medical conditions do they have, do they have a sudden worsening of their illness, do they have a new infection that is changing things. Another factor to consider is what is their oxygen level at baseli...

स्तन क्यान्सर बारे जानकारी   १० कारण, ७ लक्षण , परीक्षण र उपचार स्तनमा भएका कोष–कोषिकामा असामान्य परिवर्तन आई तिनीहरूको अनियन्त्रित तथा अनावश्यक वृद्धिबाट बन्ने गिर्खा, गाँठागुँठी र निको नहुने घाउलाई स्तन क्यान्सर भनिन्छ । त्यो प्रक्रिया क्यान्सर नहुने वा हुने दुवै प्रकृतिको हुन सक्छ।  स्तन क्यान्सरका  ल क्षण —नदुख्ने गाँठो आएमा,  —स्तनको मुन्टाबाट रगत बगेमा, —स्तनको मुन्टा भित्र जान थालेमा, —छालामा निको नहुने घाउ आएमा, —काखीमा गाँठागुँठी आएमा, —स्तनको रङ परिवर्तन हुन थालेमा ।  —अन्ने आदि । स्तन क्यान्सरका कारण स्तन क्यान्सरको ठोस कारण पत्ता नलागे पनि निम्न कारणहरूलाई जोखिम मानिएको छः —वंशाणुगत (रगतको नातामध्ये आमा, दिदी, बहिनी, छोरी कसै एकमा भएमा) कारण स्नत क्यान्सर हुन सक्छ । करिब १० प्रतिशतमा वशांणुगत कारणले स्तन क्यान्सर हुन्छ । —हर्मोनहरुमा गडबडी हुनाले पनि स्तन क्यान्सर हुन सक्छ ।  —नियमित मदिरा सेवन गर्ने महिलामा । —परिवार नियोजनका साधान पिल्सहरु प्रयोग गर्ने महिलामा क्यान्सर हुन सक्ने सम्भावना बढी हुन्छ । —जिनमा खराबी आएमा पनि क्यान्सर हुन सक्छ...