JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Oct 2021
Lumbosacral Transitional Vertebrae amongst the Individuals Undergoing Magnetic Resonance Imaging of the Whole Spine in a Tertiary Care Hospital: A Descriptive Cross-sectional Study.
Lumbosacral transitional vertebrae is a common congenital anomalous condition of the spine. Recent advances in magnetic resonance imaging have made it possible to acquire images of the whole spine. This study aimed to find out the prevalence of lumbosacral transitional vertebrae amongst the individuals undergoing magnetic resonance imaging of the whole spine in a tertiary care hospital. ⋯ Prevalence of lumbosacral transitional vertebrae amongst the individuals undergoing magnetic resonance imaging of the whole spine in our hospital was similar to other study done in similar settings. Lumbosacral transitional vertebrae are a common congenital anomalous condition of the spine that is identified incidentally. Enumeration of vertebrae from the first cervical vertebra using whole spine magnetic resonance imaging can confirm the presence of the lumbosacral transitional vertebrae with much accuracy.
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JNMA J Nepal Med Assoc · Oct 2021
Tobacco Users among the Patients who Visited Dental Outpatient Department of a Tertiary Care Hospital: A Descriptive Cross-sectional Study.
Introduction: Smoked and smokeless forms of tobacco is a preventable cause of morbidity and mortality with inevitable effects on the oral cavity as well. The aim of the study was to find out the prevalence of tobacco users among the patients who visited dental outpatient departments of a tertiary care hospital. Methods: A descriptive cross-sectional study was carried out among 255 patients visiting the dental outpatient department of a tertiary care hospital over the duration of six months. ⋯ Among them, 72 (28.2%) were current users, who had taken tobacco at least once during the past 30 days and 19 (7.5%) were ever users who had taken tobacco but not during the past 30 days. Conclusions: The prevalence of tobacco use among our study participants is similar in comparison to that of the general population. Our study shows greater prevalence of the use of a smokeless form of tobacco than the smoked form of tobacco.
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Thelaziasis is a zoonotic disease which affects the eye of domestic and wild carnivores caused by the nematode Thelazia. It is transmitted to humans by secretophagous arthropod-borne zoophilic nonbiting flies of the family Drosophilidae. Human thelaziasis is rare and occurs in poor socio-economic families of the rural locations where people live in close proximity with animals. ⋯ A total of four worms were mechanically removed from her right eye. All the collected worms were gravid female nematodes of Thelazia species. The present case of human ocular thelaziasis from Palpa, Nepal is presented for its rarity.
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JNMA J Nepal Med Assoc · Oct 2021
Fever among COVID-19 Patients in a Tertiary Care Hospital of Western Nepal: A Descriptive Cross-sectional Study.
COVID-19 has a wide spectrum of clinical presentation ranging from asymptomatic infection to acute respiratory distress syndrome and multi organ dysfunction. Data regarding this is scarce in our setting. This study aims to study the prevalence of fever in confirmed COVID-19 cases in a tertiary care hospital of western Nepal. ⋯ Fever was the most common presenting complaint with high prevalence as compared to similar studies done in similar settings. We stress the importance of considering the presence of COVID-19 even in the absence of fever as many patients presented without fever.
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JNMA J Nepal Med Assoc · Oct 2021
Case ReportsSubretinal Cysticercosis in a Challenging Case: A Case Report.
Ocular cysticercosis occurs rarely and may involve various parts of the eye including subretinal space. We report a case of a 42 years-old female with diminution of vision in the right eye for one month and no vision in the left eye for 10 years. Best corrected visual acuity in the right eye was 5/60. ⋯ The subretinal cyst was removed in toto by pars plana vitrectomy followed by histopathological examination of the cyst which confirmed the diagnosis of cysticercosis. This case report highlights the importance of early diagnosis of subretinal cysticercosis which could threaten the vision in a one-eyed patient. Pars plana vitrectomy could be an effective method for subretinal cyst removal in toto even in a challenging case.