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JNMA; Journal of the Nepal Medical Association

Sandip Subedi, Sadan Mukhi, Pradip Pandey
Bilateral striopallidodentate calcinosis, commonly known as Fahr's disease, is a rare syndrome characterised by symmetrical calcification over the basal ganglion and dentate nucleus. No case of Fahr's disease with associated manic symptoms has been described in the literature to date. We report an unusual case of Fahr's Disease in a 18 year old unmarried male who presented to the emergency department of Universal College of Medical Sciences - Teaching Hospital, Nepal with symptoms of mania. Computed tomographic scan of the patient demonstrated extensive symmetrical calcification over the basal ganglia and dentate nuclei...
January 2018: JNMA; Journal of the Nepal Medical Association
Urvashee Dwivedi, Saumya Shukla, Nidhi Anand, Chetan Parashar, Nuzhat Husain
Endometriosis occurring in a surgical scar is called incisional endometriosis. An interesting case with immunocytological confirmation is being reported. A 28-year-old female presented with a mass over anterior abdominal wall. Fine needle aspiration revealed monolayered sheets of epithelial cells and stromal fragments. A cell block was also prepared. Immunohistochemistry panel comprising of CK 7 and CD 10 was performed, which were positive in glandular and stromal component respectively. Cytodiagnosis of scar endometriosis was rendered...
January 2018: JNMA; Journal of the Nepal Medical Association
Jeong Suk Jeon, Eun Jeong Choi, Hyun Ju Lim
Malignancy is an independent risk factor of venous thromboembolism, although it is difficult to determine whether occult cancer is the cause of unprovoked VTE. About 25% of patients with VTE remain idiopathic. Here, the authors report the case of a 63-year-old woman with a history of unprovoked VTE some 10 months previously who presented with recurrent cough and dyspnea of 6 months duration and was finally diagnosed to have multiple myeloma.
January 2018: JNMA; Journal of the Nepal Medical Association
Khushboo Goel
Periodontal diseases are the complex disease with a dynamic relationship between biofilm and the host immunoinflammatory response. The goal of periodontal therapy is to preserve the natural dentition and increase their longevity by creation of a favorable environment around the teeth. The mainstay to achieve this is by the non-surgical periodontal therapy, followed by surgical and other recent treatment modalities. However, there seems no sure indication to choose amongst them that are clinically significant and offer long term predictability...
January 2018: JNMA; Journal of the Nepal Medical Association
Rupak Bishwokarma Ghimire
INTRODUCTION: Hair transplant surgery is a minimally invasive surgery, where hair follicle is transplanted from donor area of patient's own body to the desired area. METHODS: Patient with hair transplant surgery from a clinic were followed up for one year. The patients were asked for their complications within 2 days, 7 days, one month, 2 to 6 months and one year for assessment of results, side effects. At the end of one-year, subjective evaluation was done with patient's satisfaction to growth as- poor growth, satisfactory and good growth...
January 2018: JNMA; Journal of the Nepal Medical Association
Shanta Sharma, Indra Dhakal
INTRODUCTION: According to the WHO, 15% of deliveries have precise indication for cesarean section where it is mandatory for the preservation of maternal and/or fetal health. Increasing rates of Lower Segment Caesarean Sections puts foreword various question that, whether a LSCS need to be reflected as a normal delivery in this twenty first century. There are conflicting reports regarding the safety of caesarean sections. While a significant number of cesarean delivery are performed for obstetrical indications, some are simply due to maternal request and may incur several risks for the child...
January 2018: JNMA; Journal of the Nepal Medical Association
Anup Pandeya, Alok Atreya
INTRODUCTION: Facial dimensions and the face types are the most variable factors in human community. These dimensions have practical implications for the anthropologist, forensic experts, anatomists and surgeons. The present study is aimed to determine the facial dimensions and face types among the medical and nursing students. METHODS: A cross-sectional study was done among medical and nursing students of Devdaha Medical College and Devdaha College of Science and Technology from January 2017 to February 2018...
January 2018: JNMA; Journal of the Nepal Medical Association
Rajendra Sanjel Chhetri, Indra Dhakal, Gopal Gnawali
INTRODUCTION: Management of late presented displaced fracture of lateral condyle of humerus in children is controversial, many recommend conservative management due to fear of complications like avascular necrosis but recently many are advocating for operative management with good results hence we studied the outcome of operative management in late presented displaced lateral condyle fracture of humerus in children. METHODS: We studied 22 children aged between 4 to 11 years, presenting 3 to 16 weeks from injury...
January 2018: JNMA; Journal of the Nepal Medical Association
Kriti Thapa, Rita Pokharel, Rambha Sigdel, Surya Prasad Rimal
INTRODUCTION: The charm of mobile phone is more among young generation and the increasing use can lead to various harmful effects and may result in dependence. The objective of the study is to evaluate the pattern of mobile phone use among medical students. METHODS: A descriptive cross sectional study was conducted on a total of 229 medical students aged between 18 and 25 years who were using mobile phones for more than 1 year by using simple random sampling technique...
January 2018: JNMA; Journal of the Nepal Medical Association
Bikram Khadka, Mohan Lal Tiwari, Binod Timalsina, Prabodh Risal, Suprita Gupta, Dilaram Acharya
INTRODUCTION: Microalbuminuria is the earliest clinical evidence of diabetic nephropathy. However, prevalence and associated factors with microalbuminuria among type 2 diabetic patients has been understudied area of research in Nepalese context. This study aimed to determine the prevalence and factors associated with microalbuminuria among type 2 diabetic patients. METHODS: This study was a hospital-based cross-sectional study. Blood samples for serum creatinine, Hemoglobin A1C, Fasting blood sugar and urine sample for microalbumin and urine creatinine were collected and analyzed using validated and standardized tools from a total of 400 Type 2 diabetic patients in Devdaha Medical College and Teaching Hospital, Rupandehi, Nepal from August 2014 to September 2017...
January 2018: JNMA; Journal of the Nepal Medical Association
Susana Lama, Shyam Kumar Mahato, Nagendra Chaudhary, Nikhil Agrawal, Santosh Pathak, Om Prakash Kurmi, Baldev Bhatia, Kailash Nath Agarwal
INTRODUCTION: To understand and report the prevalence of meconium aspiration syndrome and the clinico-radiological features in a tertiary care hospital of western Nepal. METHODS: An observational study carried out for a year in 2014-15 in all babies with MAS. Clinical and radiological profiles of MAS in relation to gender, gestational age, mode of delivery, birth weight, Apgar score, thickness of meconium, age at admission and the immediate outcome were studied...
January 2018: JNMA; Journal of the Nepal Medical Association
Tanka Prasad Bohara, Uttam Laudari, Abhishek Thapa, Shail Rupakheti, Mukund Raj Joshi
INTRODUCTION: Upper Gastrointestinal Endoscopy is a frequently advised investigation for upper abdominal symptoms. Studies have questioned the appropriateness of indications for upper gastrointestinal endoscopy and have shown that inappropriate indications range from 5% to 49%. The unnecessary upper gastrointestinal endoscopy expose patients to the risk. The number of upper gastrointestinal endoscopy is rising in our region and we assume so is the number of unnecessary upper gastrointestinal endoscopy...
January 2018: JNMA; Journal of the Nepal Medical Association
Roshan Neupane, Tulsi Ram Bhandari
INTRODUCTION: Non-communicable diseases have along duration and slow progression. It is estimated that the attribution of NCDs in mortality has been rising gradually in Nepal. This study aimed to estimate the prevalence and factors associated with NCDs in Biratnagar, Nepal. METHODS: A cross-sectional study was conducted among government employees in Biratnagar, Nepal from August to December 2016. We used self-administrated modified WHO STEPS survey questionnaire and distributed to all government employees of Biratnagar Sub-Metropolitan...
January 2018: JNMA; Journal of the Nepal Medical Association
Amrendra Kumar Mandal, Mukesh Sharma Paudel, Sudhamshu Kc, Sitaram Chaudhary, Bidhan Nidhi Paudel, Nandu Silwal Poudyal, Barun Shrestha, Binod Karki, Suresh Thapa, Dibas Khadka, Rajan Kanth, Paritosh Kafle
INTRODUCTION: Acute variceal bleeding in liver cirrhosis is an immediate life-threatening condition and amajor complication of portal hypertension associated with higher morbidity, mortality and hospital costs than any other causes of UGI bleeding. Therefore, early stratification and initiation of therapy based on several factors can reduce mortality associated with it. We aimed to study the predictors of mortality in acute variceal bleeding in LC. METHODS: An observational prospective study was conducted in Gastroenterology and Hepatology units of Bir Hospital, Kathmandu, Nepal from April 1, 2016 to May 30, 2017...
January 2018: JNMA; Journal of the Nepal Medical Association
Mukesh Sharma Paudel, Amrendra Kumar Mandal, Barun Shrestha, Nandu Silwal Poudyal, Sudhamshu Kc, Sitaram Chaudhary, Ramila Shrestha, Khushboo Goel
INTRODUCTION: Irritable bowel syndrome occurs as recurrent abdominal pain that is related to defecation and associated with change in frequency and/or form of stool. Few Patients with IBS may have organic lesions detectable at colonoscopy. METHODS: A cross sectional study was carried out in 140 consecutive patients of IBS fulfilling the ROME IV criteria. The study was conducted in Gastroenterology unit, Department of Medicine, Bir hospital, Kathmandu from July 2016 to September 2017...
January 2018: JNMA; Journal of the Nepal Medical Association
Badri Man Shrestha
The immune system recognises a transplanted kidney as foreign body and mounts immune response through cellular and humoral mechanisms leading to acute or chronic rejection, which ultimately results in graft loss. Over the last five decades, there have been significant advances in the understanding of the immune responses to transplanted organs in both experimental and clinical transplant settings. Modulation of the immune response by using immunosuppressive agents has led to successful outcomes after kidney transplantation...
October 2017: JNMA; Journal of the Nepal Medical Association
Nashib Pandey, Shivalal Sharma, Ashish Shrestha, Vinay Marla
Soft tissue overgrowths inside oral cavity can present with wide range of clinical manifestations and some of them can asymptomatic. Oral squamous papilloma is one of that asymptomatic lesion described in the literature with extremely low virulence and infectivity rate. Soft tissue overgrowths can sometimes interfere with denture retention. Here we report a case of squamous papilloma in a 60 years old edentulous female who presented with loss of denture retention.
October 2017: JNMA; Journal of the Nepal Medical Association
Kutty Sharada Vinod, Nitin Gupta, Harsh Sahu, Naveet Wig
A 15-year old male patient presented to us with dyspnoea for four days. He had a history of fever, pseudo-membranous tonsillitis and cervical adenopathy twenty-five days prior to the presentation. On examination and laboratory investigations, he had features suggestive of myocarditis with biventricular failure. There was no reliable history of immunisation and he had a positive history of contact. He was planned for anti-diphtheria toxin but before the anti-toxin could be initiated, the patient succumbed to refractory cardiogenic shock...
October 2017: JNMA; Journal of the Nepal Medical Association
Rubby Das, Nilam Subedi, Gahana Gurung
Chorioangioma of placenta is the commonest benign tumour of the placenta. It consists of a benign angioma arising from chorionic tissue. We report a case of placental chorioangioma which was diagnosed in the post partum period in a patient with polyhydramnios who went into preterm labor and delivered a premature baby.
October 2017: JNMA; Journal of the Nepal Medical Association
Nitin Kumar Agrawal, Samarika Dahal, Harihar Wasti
Identification of victims in a disaster is a challenging process and requires use of both primary and secondary identifiers. Development of teeth is one of the routinely used methods of age estimation and helps in establishing deceased biological profile. Two children who lost their lives in 2014 in Nepal Airlines crash, were looked for the dental developmental status. One of the children had primary dentition, while the other had mixed dentition. This helped us in estimating age of these individuals reconciled with the chronological age provided by the relatives...
October 2017: JNMA; Journal of the Nepal Medical Association
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