JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Apr 2023
Case ReportsPerforated Caecum in a Left-sided Amyand's Hernia: A Case Report.
Amyand's hernia is a rare type of inguinal hernia with an appendix inside an inguinal hernia sac. Most cases are diagnosed intraoperatively during hernia repair. A 66-year-old male was received at the Emergency Department with complaints of acute onset abdominal pain, vomiting, and groin swelling. The patient was diagnosed with obstructed left inguinoscrotal hernia with suspected bowel perforation. Following the emergency laparotomy, the intraoperative picture depicted a leftsided Amyand's hernia with a perforated caecum in the hernia sac. Mobile caecum, malrotation, situs inversus, and excessively long appendix denoted it to be the prime factors for the left-sided Amyand's hernia. A diverse range of pathological features and presentations might complicate the diagnosis and management of Amyand's hernia and all in all treatment has to be individualized according to the intraoperative finding. ⋯ appendix; case reports; hernia.
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JNMA J Nepal Med Assoc · Apr 2023
Severe COVID-19 among Admitted COVID-19 Patients in a Tertiary Care Centre: A Descriptive Cross-sectional Study.
Severe COVID-19 patients experience elevated levels of serologic indicators of inflammation which can alter blood cell lineages and cause lymphopenia. The objective of this study was to find out the prevalence of severe COVID-19 among admitted COVID-19 patients in a tertiary care centre. ⋯ COVID-19; c-reactive protein; lymphocytes; severe acute respiratory syndrome coronavirus.
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JNMA J Nepal Med Assoc · Apr 2023
Metabolic Syndrome among Stable Chronic Obstructive Pulmonary Disease Patients Visiting Outpatient Department of a Tertiary care centre: A Descriptive Cross-sectional Study.
Metabolic syndrome; a constellation of obesity, hypertension, and disturbances of lipid and carbohydrate metabolism is a common phenomenon in chronic obstructive pulmonary disease. Systemic inflammation plays an important role in both conditions. The aim of this study was to find out the prevalence of metabolic syndrome among stable chronic obstructive pulmonary disease patients visiting the outpatient Department of a tertiary care centre. ⋯ chronic obstructive pulmonary disease; c-reactive protein; metabolic syndrome.
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JNMA J Nepal Med Assoc · Apr 2023
Case ReportsNovel Technique for Placement of Immediate Implant in Mandibular Region: A Case Series.
Immediate implant placement is an approach to immediately insert a dental implant into newly created extraction socket following tooth extraction. Since osseointegration is one of the major factors for implant success, placing an immediate implant in between mesial and distal roots acts as natural surgical template and bone formation around the implant from extraction socket acts or gives better osseointegration. We reported 4 cases, in which nobel technique was used. It was used in mandibular first and second molars where we do immediate implants in case of a tooth beyond repair and in case of leftover roots. Here in the case of only root involvement, we have drilled and prepared osteotomy in between the mesial and distal root while in the case of the whole tooth, we have to section the crown first, then drill. Thus, better osseointegration with good amount of soft tissue formation above the implant was achieved. ⋯ case reports; extraction; nobel technique; osseointegration.
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JNMA J Nepal Med Assoc · Apr 2023
Diabetic Retinopathy among Patients with Prediabetes Attending the Outpatient Department of Ophthalmology in a Tertiary Eye Care Centre: A Descriptive Cross-sectional Study.
Diabetic retinopathy is a specific microvascular ocular complication associated with diabetes. However, retinopathy has also been reported in people with prediabetes. The study aimed to find out the prevalence of diabetic retinopathy among patients with prediabetes attending the outpatient Department of Ophthalmology in a tertiary eye care centre. ⋯ diabetic retinopathy; prediabetes; prevalence.