JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Mar 2023
Management and Leadership Development in Healthcare Professionals.
In the healthcare system, leadership has never been more crucial. Initiatives to improve health care in underdeveloped nations frequently fail, not for lack of clinical and public health understanding, but rather for lack of management ability. However, there are currently few possibilities for thorough leadership development at any level of career. This short communication highlights the success of the International Public Health Management Development Program by the Nepal Medical Association in conjunction with the Indian Embassy in Nepal, financed by the Ministry of External Affairs under the Indian Technical Education Corporation. ⋯ leadership; Nepal; public health; training activities.
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JNMA J Nepal Med Assoc · Mar 2023
Case ReportsUndermined Skin Lesion Emerged as Tubercular Meningitis: A Case Report.
Cutaneous tuberculosis is a rare type of extrapulmonary tuberculosis and it is uncommon even in places where tuberculosis is widespread. A 32-year-old female presented with fever and headache along with prior history of an ulcer in her leg which was treated as cellulitis at another centre. The neck rigidity, and the Kernig and Budzinski sign were also positive. There were also features of increased intracranial pressure. The non-contrast computed tomography showed bilateral hydrocephalus and hypodense areas. She was managed for increased intracranial pressure and anti-tubercular therapy for disseminated tuberculosis. Biopsy of non-healing wounds should be checked for lupus vulgaris. ⋯ case reports; lupus vulgaris; meningitis; skin; tuberculosis.
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Bachelor of Medicine and Bachelor of Surgery is a roller coaster journey that is educational yet emotional. Because of how the context and responsibilities change throughout time, learning is exciting. Nevertheless, the exposure to basic science during this course teaches us to be diligent, committed, and compassionate, and it also gets us ready for the next stage of clinical practice. For us as students, the primary areas that change as a result of this transformation are professional networking, workload, patient interaction, time management, leadership, and communication skills. In this journey, the transition is inevitable so we need to adapt to change seamlessly. Additionally, extracurricular activities play a significant role in this journey. ⋯ clinical medicine; communication; educational activity; leadership.
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JNMA J Nepal Med Assoc · Mar 2023
Pregnancy Induced Hypertensive Disorders among Patients Admitted to the Department of Obstetric and Gynecology in a Tertiary Care Centre: A Descriptive Cross-sectional Study.
Hypertensive disorder of pregnancy is among the leading causes of maternal and perinatal mortality in developing countries. There are only few studies regarding this topic so this study helps us to improve our management protocol thereby reducing maternal and foetal morbidity and mortality. The aim of this study was to find out the prevalence of pregnancy induced hypertensive disorder among patient admitted to the Department of Obstertric and Gynecology in a tertiary care centre. ⋯ preeclampsia; pregnancy induced hypertension; prevalence.
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JNMA J Nepal Med Assoc · Mar 2023
Positive Pivot Shift Test among Patients with Displaced Anterior Tibial Spine Fractures Undergoing Arthroscopic Fixation in a Tertiary Care Centre: A Descriptive Cross-sectional Study.
Understanding of displaced anterior tibial spine fractures has evolved over the years and is now considered to be anterior cruciate ligament avulsion injuries rather than intra-articular fractures. However, there are very few studies available evaluating the presence or absence of a pivot shift test, which is specific in diagnosing anterior cruciate ligament insufficiency, in patients with anterior tibial spine fractures. This study aimed to find out the prevalence of the positive pivot shift test among patients with displaced anterior tibial spine fractures undergoing arthroscopic fixation in a tertiary care centre. ⋯ anterior cruciate ligament; arthroscopy; knee fractures; physical examination.