JNMA; journal of the Nepal Medical Association
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Practising medicine is all about art, skills and knowledge. According to the Tribhuvan University curriculum, the second phase, third year Bachelor of medicine and bachelor of surgery is the beginning of clinical skill learning. After studying integrated basic medical sciences for two years which is more like a conventional method of learning, the third year brings a new experience. It integrates theoretical knowledge in hospital settings by observing the patients, historytaking, examination, learning effective communication skills and empathy. ⋯ clinical skills; communication; empathy.
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JNMA J Nepal Med Assoc · Nov 2023
Hearing Loss among Children Visiting Department of Otolaryngology and HNS of a Tertiary Care Centre.
Hearing loss is defined as the partial or total reduction in auditory acuity. Hearing loss can cause detrimental effects on speech, language, developmental, educational, and cognitive outcomes in children. This study aimed to find out the prevalence of hearing loss among children visiting the Department of Otolaryngology and HNS of a tertiary care centre. ⋯ audiology; audiometry; hearing loss; outpatients; prevalence.
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JNMA J Nepal Med Assoc · Nov 2023
Diabetes Mellitus among Patients with Non-alcoholic Fatty Liver Disease Visiting the Outpatient Department of Internal Medicine in a Tertiary Care Centre.
Diabetes mellitus is a chronic metabolic illness which is mainly associated with reduced physical activity and obesity. Diabetes mellitus and non-alcoholic fatty liver disease may coexist and synergistically lead to poor clinical outcomes. The aim of the study was to find out the prevalence of diabetes mellitus among patients with non-alcoholic fatty liver disease in a tertiary care centre. ⋯ diabetes mellitus; fatty liver; non-alcoholic fatty liver disease; prevalence.
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JNMA J Nepal Med Assoc · Nov 2023
Case ReportsCervical Ectopic Pregnancy with Unsupervised Intake of Medications for Abortion: A Case Report.
Cervical ectopic pregnancy is the rarest form of ectopic pregnancy, where implantation occurs in the mucosa of the endocervical canal, below the internal os. Medical abortion is a safe and effective method of termination of early intrauterine pregnancies when carried out under the supervision of trained service providers. Unfortunately, unsupervised misuse of such methods can lead to grave morbidities, especially in ectopic pregnancies. We report a case of a 29-year-old female with cervical ectopic pregnancy, with a history of self-induced medical abortion. Her assumption that her pregnancy had been terminated caused a delay in seeking treatment, which led to complications during management. Ultrasonography revealed features suggestive of cervical ectopic pregnancy and evacuation of the fetus and placenta was done using curettage, during which she had uncontrolled severe vaginal bleeding leading to need of emergency hysterectomy. ⋯ case reports; cervical; ectopic pregnancy; hysterectomy; induced abortion.
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JNMA J Nepal Med Assoc · Nov 2023
Multidrug Resistance among Patients with Surgical Site Infection in a Tertiary Care Centre.
Infections at surgical sites are a major problem all over the world. Pathogens linked to postoperative infections are becoming increasingly resistant to antibiotics, which presents a significant therapeutic challenge for surgeons and raises the financial burden placed on patients. The study aimed to find the prevalence of multidrug resistance among patients with surgical site infections in a tertiary care centre. ⋯ antimicrobial drug resistance; multidrug resistance; Staphylococcus aureus; surgical site infection.