JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Apr 2022
Febrile Seizures among Children Admitted to the Department of Paediatrics of a Tertiary Care Centre: A Descriptive Cross-sectional Study.
Febrile seizure is the most common convulsive event in children younger than 60 months. Fever plays an important role in causing disturbances in fluid and electrolyte balance, also hyponatremia has been thought to enhance the susceptibility to seizures. The objective of this study is to find out the prevalence of febrile seizures among children admitted to the Department of Paediatrics of a tertiary care centre. ⋯ febrile seizure; hyponatremia; recurrence.
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JNMA J Nepal Med Assoc · Apr 2022
Mean Canal-body Ratio among Specimens of Dried Lumbar Vertebrae in the Department of Anatomy of a Medical College: A Descriptive Cross-sectional Study.
Lumbar spinal canal stenosis is assumed to be one of the chief causative factors for low back pain. The measurement of lumbar canal and body dimensions has thus become an important tool for the diagnosis and treatment of spinal stenosis. This study aims to find out the mean canal-body ratio among specimens of dried lumbar vertebrae in a medical college. ⋯ anatomy; bones; lumbar vertebrae.
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Minimal change disease is an important cause of nephrotic syndrome in children, however, few cases are seen among adults. There is very little literature regarding the occurrence of minimal change disease in adults. We reported a case of a 63-year-old male who presented with the complaint of swelling around the eyes mostly during the morning for 18 days and frothing of urine for 7 days. ⋯ After preliminary investigations, renal biopsy was performed and electron microscopy revealed diffuse effacement of foot processes of visceral epithelial cells suggesting minimal change disease (podocytopathy). The patient has been treated with tablet prednisolone 60 mg per oral once daily, tablet ramipril 2.5 mg per oral once daily, and tablet torsemide 20 mg per oral twice daily. Hence, minimal change disease should also be considered as a differential diagnosis in adults presenting with the features of nephrotic syndrome.
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JNMA J Nepal Med Assoc · Apr 2022
Right Coronary Artery Dominance in Cadaveric Human Hearts in Department of Anatomy of a Medical College: A Descriptive Cross-sectional Study.
Cardiac coronary dominance plays a significant role in different clinical conditions and diseases of the heart. As the people of developing and developed nations are having global coronary artery diseases, it is mandatory to have knowledge of coronary artery diseases including cardiac coronary dominance. The aim of this study is to find out the prevalence of the right coronary artery dominance in cadaveric human hearts in a medical college. ⋯ cardiac; coronary arteries; dominance.
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JNMA J Nepal Med Assoc · Apr 2022
Essential Thrombocythemia among Patients with Myeloproliferative Neoplasms in Haematology Unit of a Tertiary Care Centre: A Descriptive Cross-sectional Study.
Essential thrombocythemia, a myeloproliferative condition with an increased number of circulating platelets, is a rare hematological malignancy. The aim of the study is to find out the prevalence of essential thrombocythemia among patients with myeloproliferative neoplasms presenting in haematology unit of a tertiary care centre. ⋯ essential thrombocythemia; hematology; mutation.