JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Oct 2022
Sinusitis among Patients Undergoing CT Scan of Paranasal Sinuses in a Tertiary Care Centre: A Descriptive Cross-sectional Study.
Computed tomography imaging provides detailed information about the paranasal sinuses and is now well established as an alternative to standard radiographs in evaluating patients with sinusitis. Sinusitis can have dangerous complications which can even lead to death if not diagnosed and treated on time. This study aimed to find the prevalence of sinusitis among the patients undergoing Computed Tomography scan of paranasal sinuses in a tertiary care centre. ⋯ computed tomography; paranasal sinuses; sinusitis.
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JNMA J Nepal Med Assoc · Oct 2022
Case ReportsAzathioprine Induced Pancytopenia in a Patient with Vogt-Koyanagi-Harada Disease: A Case Report.
Vogt-Koyanagi-Harada disease is a multisystem autoimmune inflammatory disorder that affects the eyes, ears, skin, and the nervous system. It is a rare disease that mainly affects Asian, Hispanic, and Middle Eastern populations. Systemic steroids and immunosuppressants are frequently used to treat autoimmune diseases like this. Despite the fact that they reduce morbidity, immunosuppressants can have a number of side effects and are difficult to use, particularly when treating uncommon autoimmune illnesses. We present a case of a 56-year-old man who visited our health facility complaining of increased tears in both eyes along with bilateral blurring of vision. He was subsequently identified as having Vogt-Koyanagi-Harada disease. After prednisolone and methotrexate failed to have the desired effect, he was treated with azathioprine, which caused pancytopenia, and manifested as fever with positive blood culture for a coagulase-negative staphylococcus infection. ⋯ case reports; pancytopenia; steroid.
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JNMA J Nepal Med Assoc · Oct 2022
High Social Support System among Elderly in a Hilly District: A Descriptive Cross-sectional Study.
Social support is an important contributing factor that promotes the health of the elderly by providing them with positive experiences, socially satisfying roles, or the ability to cope with stressful situations. The objective of this research study is to ind out the prevalence of a high social support system among the elderly in a Hilly district. ⋯ elderly; social support; social support system.
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JNMA J Nepal Med Assoc · Oct 2022
Mean Mesiodistal Width of Canine in Patients Visiting a Tertiary Care Centre: A Descriptive Cross-sectional Study.
The measurement of the teeth is one of the most reliable method of identification. The teeth represent the most durable, resilient, and chemically stable part of the skeleton. The comparison of tooth dimensions is one of the tools of sex determination. Canines, in particular, are found to have the greatest degree of sexual dimorphism. The aim of the study was to determine the mean mesiodistal width of canines in patients visiting a tertiary care centre. ⋯ canine teeth; maxillary bone; sexual dimorphism.
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JNMA J Nepal Med Assoc · Oct 2022
Primary Caesarean Section among Multiparous Pregnant Women Visiting a Tertiary Care Centre: A Descriptive Cross-sectional Study.
Caesarean section is one of the most common obstetric operations performed. Primary caesarean section in multiparous women means the first caesarean section done in the multiparity who had previously delivered vaginally. This study aimed to find out the prevalence of primary caesarean section among multiparous pregnant women visiting a tertiary care centre. ⋯ caesarean section; multiparity; prevalence.