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JNMA; Journal of the Nepal Medical Association

Prakash Banjade, Kiran Subedi
Kawasaki disease is an acute febrile condition seen in children. However, it is also well recognized that some patients do not fulfill the classic diagnostic criteria for the diagnosis of Kawasaki disease. The incomplete form of Kawasaki disease is termed as 'Incomplete KD' or 'Atypical KD'. This is a case of 4 years old child with fever and mumps. He had bilateral cervical adenitis. Patient failed to respond to IV antibiotics fulfilled the criteria of incomplete Kawasaki disease. The child was managed with high dose aspirin until the child was afebrile for 48 hours...
July 2018: JNMA; Journal of the Nepal Medical Association
Asmita Pandey, Chanda Karki, Meena Thapa
Abdominal cocoon syndrome is a rarely encountered surgical emergency first described by Foo et al. in 1978. This condition is characterised by a thick fibrous membrane which encases the small bowel partially or completely. Diagnosis of this condition is usually made per operatively and the treatment of choice is surgical release of entrapped bowel. This is a case report of abdominal cocoon syndrome diagnosed during laparotomy done with the provisional diagnosis of abdominal pregnancy following In vitro fertilization- embryo transfer...
July 2018: JNMA; Journal of the Nepal Medical Association
Swotantra Gautam, Brikha Raj Joshi, Shailesh Adhikary, Sudeep Regmi, Anju Pradhan
Male breast carcinoma is a rare malignancy (<1% of all breast carcinomas, 0.2% of all male malignancies). Its common histopathological type is infiltrating carcinoma, not otherwise specified. Three male patients aged 56 (stage -IIIB), 64 (T4bN0M0) and 78 (T2N0MO) years presented with a breast lump within a year. Their hematological and biochemical parameters were within normal limits. Two of them had palpable regional lymph nodes. Male breast carcinoma occurs in older males as in our cases. Two cases showed infiltrating ductal carcinoma, not otherwise specified on histopathological evaluation, and one showed special type with apocrine differentiation...
July 2018: JNMA; Journal of the Nepal Medical Association
Deepanshu Garg, Deepika Kapoor
INTRODUCTION: Dental radiographs have always been the mainstay of the diagnosis of oral diseases. Even if the radiation hazard posed by the dental radiographs is low but still accumulation of such low level radiation in human body over a time period can pose a threat to the overall health of the individual. The aim of this study is to assess the knowledge of dental students about radiation protection and hazards. METHODS: The present cross sectional study was conducted by enrolling one hundred 4th year dental students from the two teaching hospitals in Chitwan district of Nepal...
July 2018: JNMA; Journal of the Nepal Medical Association
Rajendra Kumar Chaudary, Rajan Ghimire, Deepak Raj Kafle
INTRODUCTION: Breech delivery has always been matter of interest in obstetrics. Cesarean breech delivery has been preferred method of delivery. We aim to find out any differences in outcome between vaginal breech delivery and cesarean breech delivery in our setup. METHODS: Data were collected from record book of Department of Gynaecology and obstetrics, Pokhara Academy of Health Sciences, Kaski, Nepal. Pregnant with breech presentation who had delivery in the centre from 2074 Baishak to 2074 chaitra were enrolled in the study...
July 2018: JNMA; Journal of the Nepal Medical Association
Barsha Ghimire, Sujaya Gupta
INTRODUCTION: Understanding the anatomical variations in the position of mental foramen are significant for different dental procedures. This study identified the position of the mental foramen among a sample of Nepalese population visiting a dental college in Kathmandu. METHODS: Total 417 panoramic radiographs (orthopantomograms) were selected from a total of 567 radiographs. The mental foramen location was determined by drawing imaginary line parallel with the long axis of the lower premolars ...
July 2018: JNMA; Journal of the Nepal Medical Association
Anamika Jha
INTRODUCTION: Elastrography used in addition to grey scale sonography increases its specificity. Elasticity contrast index (ECI) is based on strain elastrography and being a quantitative parameter, maybe more easy to obtain and reproducible while researches has been done in ECI in thyroid lesions, this is the first study, to the best of our knowledge to evaluate in breast lesions. This study was done to evaluate the diagnostic accuracy of Elasticity Contrast Index (ECI) in differentiating benign from malignant lesions of breast and to determine its cutoff value...
July 2018: JNMA; Journal of the Nepal Medical Association
Khushbu Adhikari, Charanjeet Singh Saimbi, Birendra Prasad Gupta
INTRODUCTION: Chronic periodontitis is an infectious disease. Porphyromonas gingivalis is the major pathogen associated with it and can be found in all ecosystems in the oral cavity. The presence of this organism is highly correlated with preterm and low birth weight babies. So, this study aimed to assess vertical transmission of P.gingivalis from pregnant women to their new born. METHODS: Forty six pregnant women with chronic periodontitis were recruited for this cross-sectional study...
July 2018: JNMA; Journal of the Nepal Medical Association
Roshana Shrestha, Ashis Shrestha, Kabita Hada Batajoo, Rashmi Thapa, Samita Acharya, Sumana Bajracharya, Sanij Singh
INTRODUCTION: Basic life support is foundation to save lives. In contrast to the developed countries, there is still no national standard BLS training module in Nepal. Basic life support training is being provided by various institutions but lack in consistency and coordination. The Nepal basic life support Course is the video based training in Nepali language with reference to recent advances which was intended for all health care personnel of Nepal in urban as well as rural setting...
July 2018: JNMA; Journal of the Nepal Medical Association
Poonam Kc
INTRODUCTION: Cartilage as a graft for closure of tympanic membrane has got superior benefits than other usual grafts (temporalis fascia and perichondrium). Cartilage supported myringoplasty with palisade technique has good result of graft uptake rate, even under difficult conditions. This technique brings very good functional and better long-term results. This study is done to assess graft uptake rate and hearing improvement after myringoplasty with cartilage palisade technique. METHODS: It is a descriptive, hospital based observational study done at Manipal Teaching Hospital, Pokhara between 2014-2017...
July 2018: JNMA; Journal of the Nepal Medical Association
Deepika Kapoor, Sandeep Bhatia, Deepanshu Garg
INTRODUCTION: General practitioner dentists and non-orthodontic specialties ought to have the knowledge of the basic principles and practices of orthodontics in order to educate the patients, diagnose their problems correctly and for proper referral. The objective of the present study is to assess the attitude and knowledge of the general practitioner dentists and non-orthodontic specialists towards the basic principles and practices of orthodontics. METHODS: This study was performed by presenting a closed questionnaire to a total of 78 participants out of which 46 were general practitioners and 32 were non-orthodontic specialists...
July 2018: JNMA; Journal of the Nepal Medical Association
Rupak Bishwokarma Ghimire
INTRODUCTION: Androgenetic alopecia, also known as as male pattern baldness, affects up to 50% of men and 10% females worldwide. Patients with baldness seem to have a great impact on quality of life including their self-esteem, confidence, relationship as well as work. METHODS: This is a cross-sectional descriptive study on dermatology quality of life index in patients with androgenetic alopecia who came for hair transplantation surgery at Aavaran Skin Clinic Pvt Ltd, Battisputali, Kathmandu between 15th July 2017 to 15th February 2018...
July 2018: JNMA; Journal of the Nepal Medical Association
Subhash Prasad Acharya, Adheesh Bhattarai, Binita Bhattarai
INTRODUCTION: The patients with the most severe and life threatening illnesses requiring constant monitoring and support are admitted in the intensive care unit. Tribhuvan University Teaching Hospital is the oldest and tertiary referral center hospital in the country with eleven-bedded level III mixed medical surgical ICU. This audit was performed to study the profile of critically ill patients under different headings like diagnosis at admission, primary specialty, outcome of the patients, etc...
July 2018: JNMA; Journal of the Nepal Medical Association
Bikram Khadka, Mohan Lal Tiwari, Ravi Gautam, Binod Timalsina, Nandu Prasad Pathak, Krishna Kharel, Shanta Sharma, Dilaram Acharya
INTRODUCTION: Bone turnover leading to osteoporosis and poor quality of life is common during post-menopausal period. Study of bone turnover markers that contribute to non-invasive assessment of bone-metabolic disorders holds an important area of research in low income country like Nepal. This study aimed to examine the correlates of bone turnover markers in post-menopausal women in tertiary level of health care center of Nepal. METHODS: A hospital-based cross-sectional study conducted during the period of November 2016 to December 2017 among 354 women...
July 2018: JNMA; Journal of the Nepal Medical Association
Suresh Bishokarma, Shikher Shrestha, Munu Napit, Dinesh Nath Gongal
INTRODUCTION: Preoperative diagnosis of intracranial space occupying lesion based solely on clinical and neuroimaging evaluation may not be sufficient to institute treatment plan without histopathological certainty. Frame based stereotactic biopsy is a technique of retrieving biopsy specimen to determine the histopathology. The aim of this study is to assess the efficacy and accuracy of frame based technique. METHODS: This is a cross-sectional study conducted among 80 patients who underwent computed tomography guided frame based stereotactic biopsy during a period of 6 years...
July 2018: JNMA; Journal of the Nepal Medical Association
Sunil Regmi, Sunil Chandra Adhikari, Saroj Yadav, Rabin Raj Singh, Ravi Bastakoti
INTRODUCTION: Internal urethrotomy is recommended for the treatment of urethral strictures shorter than 1.5 cm but has been associated with high recurrence rates. The aim of this study was to evaluate the efficacy of use of triamcinolone ointment for clean intermittent self catheterization in the prevention of urethral stricture recurrence after internal urethrotomy. METHODS: Total of 60 male patients undergoing internal urethrotomy were assigned into two groups and clean intermittent self catheterization was performed using either triamcinolone ointment or a water-based gel for lubrication of the catheter in this randomized clinical trial...
July 2018: JNMA; Journal of the Nepal Medical Association
Satish Kumar Deo, Sita Rijal, Sita Devi Kunwar, Anuja Dahal, Sujaya Gupta
INTRODUCTION: Self-medication among adolescents has become a serious global problem that plays an important role in irrational use of medication and tends to increase with the age of adolescents. Limited research has been done in Nepal regarding antibiotic knowledge among non-medical students. Hence, this study aims to assess the knowledge of higher secondary non-science students regarding antibiotic use, resistance and its consequences. METHODS: A cross-sectional descriptive study was done during antibiotic awareness week 2017 among 471 grade 11 and 12 non-science students of private schools in Kathmandu...
July 2018: JNMA; Journal of the Nepal Medical Association
Nuwadatta Subedi, Hima Raj Giri
INTRODUCTION: The medico legal reports and certificates prepared by doctors can be used as valuable documentary evidence in the court of law. The study was designed with objectives to explore the perception of judges and lawyers about the quality of medico legal reports prepared by the doctors and their competence in providing the expert evidence in the court. METHODS: It is a questionnaire based cross sectional study conducted among the district judges and government attorneys of 75 districts of Nepal from March to May 2016...
July 2018: JNMA; Journal of the Nepal Medical Association
Sirjana Dahal, Ashish Shrestha, Tarakant Bhagat
INTRODUCTION: Visually impaired patients are unable to visualize the plaque on tooth surfaces resulting in inadequate plaque removal and therefore the progression of dental caries and inflammatory disease of the periodontium. The objective of the study was to assess the effectiveness of herbal mouth wash in reduction of plaque and gingivitis among visually impaired children. METHODS: Randomized controlled clinical trial was conducted with parallel groups study, comprising 6 to 20 year old visually impaired children, 20 in each group (herbal mouth wash or chlorhexidine mouthwash or placebo mouthwash)...
July 2018: JNMA; Journal of the Nepal Medical Association
Milan Khadka, Binod Pantha, Lochan Karki
INTRODUCTION: Chronic Kidney Disease is a worldwide public health problem that affects millions of people from all racial and ethnic groups. Identification of a Chronic Kidney Disease is a major risk factor for cardiovascular morbidity and mortality and is attributed to hyperuricemia. Evidences show that high serum uric acid contribute directly to glomerulosclerosis, interstitial fibrosis and atherosclerosis that correction of hyperuricemia associated with Chronic Kidney Disease will slow the progression of chronic renal failure...
July 2018: JNMA; Journal of the Nepal Medical Association
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