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American Journal of Public Health Research

ISSN (Print): 2327-669X

ISSN (Online): 2327-6703

Editor-in-Chief: Jing Sun




Traditional Healers and Evidence-Based Medicine

1Department of Community Medicine and Family Medicine All India Institute of Medical Sciences, Jodhpur, Rajasthan, India

2Department of Surgery, College of Medicine and JNM Hospital, Kalyani, West Bengal

3Department of Community Medicine MGM Medical College and LSK Hospital, Kishanganj, Bihar, India

4Department of Community Medicine, College of Medicine and JNM Hospital, Kalyani, West Bengal

American Journal of Public Health Research. 2015, 3(5A), 194-198
doi: 10.12691/ajphr-3-5A-41
Copyright © 2015 Science and Education Publishing

Cite this paper:
Ranabir Pal, Pradip Kumar Mohanta, Gautam Sarker, Neeti Rustagi, Ayan Ghosh. Traditional Healers and Evidence-Based Medicine. American Journal of Public Health Research. 2015; 3(5A):194-198. doi: 10.12691/ajphr-3-5A-41.

Correspondence to: Ranabir  Pal, Department of Community Medicine and Family Medicine All India Institute of Medical Sciences, Jodhpur, Rajasthan, India. Email:


Traditional medicine is the oldest primary care with 400 million practitioners across the globe. Many consider traditional medicine to be unsystematic and not based on science, with voluminous apprehensions. Yet, due to reasons better known to them as care-seekers daily patronize traditional healers by accepting them as ‘Friend, Philosopher and Guide’. Otherwise in absence of 'receivers of treatment' these traditional healers would not have survived over years with respect from the community. They are true professionals. Our so-called academic understanding is nothing in front of their generations old practical knowledge stored in their senior members. From the pragmatic and empiricist medicine of 5000 BC, today medicine has put off the robe of ego for the ultimate benefit of mankind amidst profiteering groups. We have to use both individual clinical expertise and the best available evidence for the benefit of mankind. From the age old concept of ‘Doctor’ as ‘healer, preacher and teacher’, we have currently reached the era of evidence based medicine- ‘What is the evidence that what you have just advised, works’. Practicing evidence based medicine will identify and apply the most efficacious interventions with ideas and concepts to think positively to maximise the chances of individuals, groups and communities to attain and sustain, long happy and fulfilled lives. The empiricist traditional healers are truly practicing 'Evidenced Based Medicine' in their own limited way. We have to pass through painstaking process to help them learn how to improve.



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Ultrasonography in Predicting the Cause of Scrotal Pain: A Study in Nepal

1Department of Radiodiagnosis & Imaging, Manipal Teaching Hospital, Pokhara, Nepal

2Medical Officer, Park Clinic, Kolkata, India

3Department of Community Medicine, Manipal College of Medical Sciences, Pokhara, Nepal

American Journal of Public Health Research. 2015, 3(5A), 199-202
doi: 10.12691/ajphr-3-5A-42
Copyright © 2015 Science and Education Publishing

Cite this paper:
Subash K C, Mahesh Pathak, Abhijit De, Brijesh Sathian. Ultrasonography in Predicting the Cause of Scrotal Pain: A Study in Nepal. American Journal of Public Health Research. 2015; 3(5A):199-202. doi: 10.12691/ajphr-3-5A-42.

Correspondence to: Subash  K C, Department of Radiodiagnosis & Imaging, Manipal Teaching Hospital, Pokhara, Nepal. Email:


Ultrasound is an easily available, less time consuming, reproducible and safest imaging modality in evaluation of scrotum. It is important to come to an accurate diagnosis in any case of scrotal pain. Although epididymitis with or without orchitis is commonly encountered, it is necessary to rule out emergency conditions like torsion of spermatic cord not only to salvage testes with timely surgery but also to avoid negative surgeries on otherwise inflammatory conditions. This study was done in Manipal Teaching Hospital situated in western region of Nepal on 100 cases presenting with scrotal pain. It was done over a period of 2 years from September 2013 to August 2015. Various causes of scrotal pain were accurately diagnosed in all the included cases. Prevalence of various common causes of scrotal pain were depicted by this study. Epididymitis was noted in 35% cases with scrotal pain, followed by varicocele in 15 % cases and epididymo-orchitis in 12 % cases. Most patients were in 20 to 30 years age group comprising 41 % followed by 31to 40 years age group comprising 39%. Hence, scrotal USG is a valuable tool in diagnosing cause of scrotal pain more so in clinically equivocal cases.



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Burden of Dermatological Disorders in Remote Hilly Region of Western Nepal: A Community Health Camp-based Study

1Department of Dermatology, Manipal College of Medical Sciences, Pokhara

2Department of Community Medicine, Manipal College of Medical Sciences, Pokhara

American Journal of Public Health Research. 2015, 3(5A), 203-205
doi: 10.12691/ajphr-3-5A-43
Copyright © 2015 Science and Education Publishing

Cite this paper:
Ajay Kumar, Prasanna Raj Shrestha, Jenny Pun, Pratichya Thapa, Merina Manandhar, Brijesh Sathian. Burden of Dermatological Disorders in Remote Hilly Region of Western Nepal: A Community Health Camp-based Study. American Journal of Public Health Research. 2015; 3(5A):203-205. doi: 10.12691/ajphr-3-5A-43.

Correspondence to: Ajay  Kumar, Department of Dermatology, Manipal College of Medical Sciences, Pokhara. Email:


Population based cross-sectional surveys depicting the magnitude of dermatological diseases among the hilly population in Nepal, where limited resources are available for skin care. The study aimed to measure prevalence of dermatological conditions and associated factors in remote hilly region of Nepal. The cross sectional study was done in September 2014 in a multispecialty medical camp held in remote hilly area of western Nepal to find out the pattern and assess the relation of various demographic factors with the type of dermatological disorders. All the cases were examined by a dermatologist in natural light and a clinical diagnosis was made. 153 cases were examined (total camp cases were 1132), camp prevalence of 13.51%. Patients were from one month of age to 90 years old with mean age of 25.69. The commonest cutaneous diseases encountered were bacterial infections(56/153). Odds ratio of infectious and non infectious disease in current smokers and non-smokers was 1.60. There was no statistically significant relation in type of dermatoses and age group (p=0.55), socioeconomic status (p=0.43), education level (p=0.74), occupation (p=0.24).



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