JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Jan 2020
Case ReportsIntestinal Obstruction of Congenital Origin: A Case Report.
Congenital bands are rare causes of intestinal obstruction and often leads to diagnostic challenges. Diagnostic delays in cases of mechanical obstruction might lead to irreversible bowel ischemia and perforation. Presently described is a case of an 18 month young child with severe vomiting developed for one day. ⋯ The child was kept under observation for eleven days and was discharged. Although rare, intestinal obstruction due to congenital bands must be considered when treating a child with severe vomiting. Keywords: case reports, congenital abnormalities, intestinal obstruction, vomiting.
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JNMA J Nepal Med Assoc · Jan 2020
Prevalence of Self Medication Practice among Dental Undergraduates in a Dental college.
Self-medication practice among future prescribers can cause a serious threat to the health care profession. There has been an increasing trend among medical and dental students for self-medication. The objective of our study was to find the prevalence and practice of self-medication among dental undergraduates in Kantipur Dental College and Teaching Hospital. ⋯ Self-medication was commonly practiced by dental students. Self-medication should be considered as a serious threat, especially among the students with inadequate knowledge of drug, dose, and duration of treatment.
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JNMA J Nepal Med Assoc · Jan 2020
Transrectal Ultrasound Guided Prostatic Biopsy and its Complications: A Descriptive Cross-sectional Study.
Transrectal ultrasound of prostate provides better visual for biopsy. Transrectal ultrasound guided prostate biopsy is usually performed in men with an abnormal digital rectal examination, and elevated prostate specific antigen (>4ng/ml) or prostate specific antigen velocity (rate of prostate specific antigen change) i.e., >0.4-0.75ng/ml/year. The aim of the study is to find out the complications of transrectal ultrasound guided prostatic biopsies. ⋯ Transrectal ultrasound guided biopsy of prostate is a pioneer experience in Nepal. It has proved to be an useful tool of diagnosis of suspected carcinoma of Prostate. Use of neurovascular block may reduce the pain during the procedure.
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JNMA J Nepal Med Assoc · Jan 2020
Prevalence of Operated Facial Injury in the Department of Oral and Maxillofacial Surgery of a Tertiary Hospital.
Maxillofacial injury is one of the commonest causes of surgery performed by an oral and maxillofacial surgeon. Socioeconomic conditions, cultural variation, age, and gender affect the etiology of the injury. The study is aimed to find the prevalence of facial injury that is operated by the oral and maxillofacial surgeons in the College of Medical Sciences and Teaching Hospital, Bharatpur, Chitwan, a tertiary hospital. ⋯ Facial injury-related surgeries are more prevalent in the tertiary hospital of Bharatpur.
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JNMA J Nepal Med Assoc · Jan 2020
Bacteriology of Sputum Samples: A Descriptive Cross-sectional Study in a Tertiary Care Hospital.
Lower respiratory tract infection is a common infection and accounts for a greater burden of disease worldwide. It is a great challenge to the clinician and still more, with increasing antimicrobial resistance. Its empirical treatment may vary according to the type of causative organisms. The objective of this study is to identify the pathogenic microorganisms and their antimicrobial susceptibility pattern from sputum sample. ⋯ Proper diagnosis, identification of causative agents and their antimicrobial susceptibility pattern are important steps to limit the irrational use of antimicrobials. Prescribing antimicrobials empirically in the case of suspected lower respiratory tract infection is difficult.