JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · May 2024
Beyond The Books: Role of Extracurricular Activities In Medical Students.
Extracurricular activities (ECAs) in the field of medicine can be research related and non-research related activities that allows students to develop skills to be a good doctor in the future. Building a curriculum vitae, becoming a team player, managing stress, building good communication skills and good academics highlights the value of extracurricular activities. Challenges like time constraints, and resource limitation hinders the participation which needs to be addressed to encourage the medical students to take part in extracurricular activities.
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JNMA J Nepal Med Assoc · May 2024
Altered Passive Eruption among Patients Visiting Dental Outpatient Department in a Tertiary Care Center: A Descriptive Cross-sectional Study.
The eruption of teeth is considered to be a continuous phenomenon. Two types of eruption are possible namely, active and passive eruption. Failure in passive eruption (by the apical movement of gingiva from the enamel surface) generally results in a clinical condition known as altered passive eruption. It can result in the shortened crown height of a tooth and an esthetically unpleasant situation i.e., excessive gingival display or gummy smile. The main motto of this study was to find out the prevalence of altered passive eruption and associated gingival biotypes in adult patients visiting for dental treatment in tertiary centers along with strategically placed outreach centers. ⋯ The prevalence of altered passive eruption appeared to be equivalent when compared with the previous studies.
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JNMA J Nepal Med Assoc · May 2024
Burnout among Nurses and Doctors Working at a Tertiary Care Government Hospital: A Descriptive Cross-sectional Study.
Work environment related feelings of dissatisfaction, exhaustion, decreased interest and isolation is common. Burnout among health professionals has been on rise at every stage of professional growth affecting wellness of service providers, patient care and health care organizational efficiency. Assessment of burnout among health care workers from government setup in the current context in this post COVID era in our socio-geographical context has become essential. The aim of this study was to find the prevalence of burnout among nurses and doctors working at a tertiary care government hospital in Nepal. ⋯ The prevalence of burnout among nurses and doctors is high, similar to other studies done in similar settings.
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JNMA J Nepal Med Assoc · Apr 2024
Case ReportsParaquat Toxicity Leading to Acute Kidney Injury: A Case Report in an Adult Patient.
Paraquat poisoning poses a significant and emerging public health challenge in developing countries. The distribution and usage of Paraquat, a potent herbicide, remain unrestricted in many regions despite its high fatality rate and absence of a specific antidote. Paraquat mostly involves lungs but can also involve the kidneys and liver. ⋯ Upon presentation, he had erosion on the tongue and posterior pharyngeal wall, along with deranged renal function tests and elevated serum creatinine levels. The patient developed acute kidney injury, with serum creatinine levels rapidly rising from normal to 3.85 mg/dl, accompanied by a decrease in daily urine output. He was managed conservatively, and his hospital stay was uneventful.
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JNMA J Nepal Med Assoc · Apr 2024
Multidetector Computed Tomography Used in Evaluation of Olfactory Fossa Depth in a Tertiary Hospital in Eastern Region of Nepal: A Descriptive Cross-sectional Study.
Olfactory fossa (OF) is a depression in most infero-medial portion of anterior cranial fossa formed by cribriform plate, crista galli and lateral lamella of cribriform plate (LLCP). LLCP being thinnest and extremely variable parts, more prone for iatrogenic injury during sinus surgery in case of asymmetric and deep OF. Multidetector computed tomography (MDCT) is frequently used imaging modality in the evaluation of paranasal sinus. The objective of the study is to classify the OF depth according to the Keros classification. ⋯ Keros type II OF is more common. The dangerous type III OF having low prevalence, more commonly seen on right side and in males.