JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Nov 2020
Histopathological Spectrum of Non-Neoplastic and Neoplastic Lesions of Thyroid: A Descriptive Cross-sectional Study.
Thyroid gland lesions are the most common endocrine disorders encountered globally. Diseases of the thyroid gland present with either an alteration of hormone secretion or as an enlargement of the thyroid gland. The objective of the study is to find the frequency of different thyroid lesions. ⋯ Colloid goiter and papillary carcinoma was the most commonly encountered non-neoplastic and neoplastic lesion with a female predominance. Rare tumors like anaplastic carcinoma, papillary carcinoma, and follicular carcinoma with anaplastic transformation were also encountered.
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JNMA J Nepal Med Assoc · Nov 2020
Case ReportsMultiply Broken Metallic Hardware Removal for United Patella Fracture Applied Twenty Years Before: A Case Report.
Breakage of tension band wires, used to treat the patella fracture, is not uncommon several years after the fracture fixation. Broken wires may migrate to surrounding neurovascular structures, other vital organs like heart and may cause potentially fatal complications. ⋯ We report a 50 years old male patient with broken tension band wires at multiple sites for patella fracture. The broken wires were removed 20 years after the initial surgery without any undue complications, however patient sustained significant soft tissue damage to remove all the pieces of broken wires that would otherwise have been removed without any undue complications immediately after fracture union.
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JNMA J Nepal Med Assoc · Nov 2020
Normal Anatomy and Variants of Renal Vasculature with Multidetector Computed Tomography in a Tertiary Care Hospital: A Descriptive Cross-sectional Study.
Preoperative multisection computed tomography evaluation can provide necessary anatomic information in minimally invasive surgeries. This study was done to estimate the preva-lence and pattern of variations of renal vasculature through contrast-enhanced computed tomogra-phy in patients referred to the radiology department of a tertiary care hospital. ⋯ Based on our study, almost one in three patients had accessory renal arteries and eighty-five out of a thousand patients had variants of renal veins.
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JNMA J Nepal Med Assoc · Nov 2020
Case ReportsSymptomatic Hyponatremia following Bowel Preparation for Colonoscopy: A Case Report.
Colonoscopy is considered a gold standard tool for the diagnostic evaluation of colorectal diseases. Bowel preparation, a pre-requisite for colonoscopy, usually involves ingestion of purgatives for the cleansing of the bowel so that visualization is not obscured during the procedure. Commonly used preparations are sodium phosphate-based solutions, sodium picosulphate and polyethylene glycol. ⋯ Hyponatremia is usually seen with sodium phosphate based solutions and is rare with polyethylene glycol. Symptomatic hyponatremia, however, is rare following bowel preparation and is attributable to other factors as well, such as the age of patient, non-osmotic release of antidiuretic hormone and the procedure itself. In this report, we discuss a case of severe symptomatic hyponatremia observed in a 71-year-old gentleman who underwent polyethylene glycol based bowel preparation for colonoscopy.
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JNMA J Nepal Med Assoc · Nov 2020
Professional Quality of Life among Medical Doctors Working in Kathmandu: A Descriptive Cross-sectional Study.
The practice of medicine is an honorable profession besides being accompanied by a demanding environment. This study aimed to find out the professional quality of life of medical doctors working in Kathmandu valley. ⋯ More than half, nearly two-third, and more than two-third participants had moderate levels of Compassion satisfaction, Burnout and Secondary Traumatic Stress respectively. The overall study findings reflected good balance between Compassion satisfaction and Compassion fatigue (burnout and secondary traumatic stress) among the Nepalese medical doctors. Further assessment of professional quality of life of doctors as well as other health care workers via Multifaceted and large-scale study is recommended.