JNMA; journal of the Nepal Medical Association
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Fingerprints, serve as one of the crucial tools for identification of the individual for various purposes. Sex, being one of those tools, researchers have suggested the use of fingerprints for gender identification. The objective of the study was to observe the distribution of various fingerprints patterns in the population of a community, together with the most prevalent pattern. ⋯ For standard authenticity of the sexual dimorphism, fingerprint patterns, can also be considered for gender identification purposes.
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JNMA J Nepal Med Assoc · Sep 2019
Prevalence of Dangerous Ethmoid in a Tertiary Center in Eastern Nepal.
Endoscopic sinus surgery is a well-known approach for sino-nasal pathologies. Due to close proximity to the brain and orbit, the surgeon should be aware of the sino-nasal anatomy and its associated variations. Detailed preoperative assessment of the sinus computed tomography scans reduces the frequency of severe complications in patients undergoing an endoscopic sinus surgery. So, the aim of this study is to find the prevalence of dangerous ethmoid in a tertiary center in eastern Nepal. ⋯ The most common type of dangerous ethmoid was keros type II.
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JNMA J Nepal Med Assoc · Sep 2019
Case ReportsAcute Stroke in Tubercular Meningitis: A Case Report.
Most of the strokes in tubercular meningitis are multiple, bilateral, and located in the basal ganglia, especially the 'tubercular zone', which comprises of the caudate, anterior thalamus, anterior limb, and genu of the internal capsule. These are attributed to the involvement of medial striate, thalamotuberal, and thalamostriate arteries, which are embedded in exudates and likely to be stretched by coexistent hydrocephalus. Corticosteroids with antitubercular therapy were thought to reduce mortality and morbidity but their role in lowering strokes has not been proven. ⋯ Here, we are reporting a case of 22-years female patient with tubercular meningitis. She had complications of ischemic infarct and severe communicating hydrocephalus with a seizure disorder. Keywords: meningeal tuberculosis; stroke; tuberculoma; vasculitis.
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JNMA J Nepal Med Assoc · Sep 2019
Patient Satisfaction with Nursing Care in Five Major Departments in a Tertiary Care Centre.
Patient satisfaction is an important component of quality nursing care and is often determined by the nursing care in any health institution. The aim of the study is to find the presence of satisfaction among in-ward patients of five major wards at a tertiary care hospital regarding the quality of care provided by nursing staff. ⋯ Most of the patients were satisfied with the nursing care provided in a tertiary care centre. Routine nursing care surveys and immediate feedbacks would keep the authorities updated and deliver good health care.
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JNMA J Nepal Med Assoc · Sep 2019
Prevalence of Dyspnea among Patients Attending the Emergency Department of a Tertiary Care Hospital: A Descriptive Cross-sectional Study.
Dyspnea is a common presenting complaint in the emergency department worldwide and a diagnostic challenge for emergency physicians. Our study aims to find the prevalence of dyspnea among patients attending emergency department in our hospital. ⋯ The prevalence of dyspnea among patients attending emergency department of our hospital is higher compared to that of other studies. This warrants structured and prompt management of dyspnea for quality improvement.