JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Jan 2023
Vernal Keratoconjunctivitis among Patients Presenting to the Outpatient Department of Ophthalmology of a Tertiary Care Centre: A Descriptive Cross-sectional Study.
Vernal keratoconjunctivitis is a seasonally recurring, bilateral inflammation of the conjunctiva, that occurs in male children with invariable personal or family history of atopy. It is characterized by interstitial inflammation of the cornea and can have sight-threatening complications if not treated in time. The aim of this study was to find out the prevalence of vernal keratoconjunctivitis among patients presenting to the outpatient department of ophthalmology of a tertiary care centre. ⋯ conjunctivitis; refractive error; vernal keratoconjunctivitis.
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JNMA J Nepal Med Assoc · Jan 2023
Artifacts among Cone Beam Computed Tomography Images of Patients of Department of Oral Medicine and Radiology in a Tertiary Care Centre: A Descriptive Cross-sectional Study.
Cone beam computed tomography is widely used as a mode of investigation in the field of dentistry. Although presenting a three-dimensional picture of head and neck structures it does carry drawbacks in the form of artifacts which not only degrade image quality but a repeat of the radiograph leading the patient to radiation exposure again. This study aimed to find out the prevalence of artifacts among cone beam computed tomography images of patients visiting tertiary care centre. ⋯ artefact; cone beam computed tomography; radiation.
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JNMA J Nepal Med Assoc · Jan 2023
Randomized Controlled TrialOccluded Coronary Artery among Non-ST Elevation Myocardial Infarction Patients in Department of Cardiology of a Tertiary Care Centre: A Descriptive Cross-sectional Study.
Non-ST elevation myocardial infarction is frequently thought to be caused by incomplete blockage of the culprit artery, whereas ST elevation myocardial infarction is frequently thought to be caused by total occlusion of the culprit artery. The objective of the study was to find out the prevalence of occluded coronary arteries among non-ST elevation myocardial infarction patients department of cardiology of a tertiary care centre. ⋯ coronary angiography; MINOCA; Non-ST elevation myocardial infarction.
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JNMA J Nepal Med Assoc · Jan 2023
Case ReportsAdenosquamous Carcinoma of Gallbladder with Unusual Prognosis: A Case Report.
The adenosquamous carcinoma of the gallbladder is a rare variant accounting for only 1-4% of all primary gallbladder carcinoma. Regardless of the histological types, all gallbladder carcinomas have silent and rapid progression resulting in delayed diagnosis and poor prognosis. Even with medical and/or surgical interventions, the median survival of patients with adenosquamous carcinoma, one of the histological variants, is less than a year. However, we present a case of adenosquamous carcinoma with an unusually better prognosis. A 70-year-old female patient, after being diagnosed with gallbladder carcinoma was suggested for surgical resection but was lost to follow-up since then. Two years later, the patient presented and was managed with extended cholecystectomy. The slow progression and non-recurrence of the tumour during follow-up for two years after the surgery indicates a better prognosis in this case. ⋯ carcinoma; case reports; cholecystectomy; prognosis.
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JNMA J Nepal Med Assoc · Jan 2023
Multimorbidity in Diabetic Patients Admitted to a Tertiary Care Center: A Descriptive Cross-sectional Study.
Multimorbidity is defined as the co-occurrence of two or more chronic conditions in the same individual. Type 2 Diabetes Mellitus rarely occurs without coexisting diseases. With an increasing elder population and longevity, elder adults have a higher prevalence of chronic morbidity, thus increasing the chances of experiencing more than one non-communicable chronic condition, where the impact of multimorbidity is greater than the cumulative effect of the single condition. The study aimed to find out the prevalence of multimorbidity in diabetic patients admitted to a tertiary care centre. ⋯ co-morbidity; diabetes mellitus; multimorbidity; osteoarthritis.