JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Dec 2022
Extra-pulmonary Tuberculosis among Tuberculosis Patients Visiting a Tertiary Care Centre: A Descriptive Cross-sectional Study.
Tuberculosis outside of the lung is extrapulmonary tuberculosis. The diagnosis of extrapulmonary tuberculosis is not easy in a community setting even in district hospitals. Clinical symptoms and radiological diagnosis are effective for the diagnosis of pulmonary and extra-pulmonary cases. The aim of the study is to find out the prevalence of extra-pulmonary tuberculosis among tuberculosis patients visiting a tertiary care centre. ⋯ extrapulmonary; pulmonary; tuberculosis.
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JNMA J Nepal Med Assoc · Dec 2022
Mechanical Injury among Medicolegal Cases in the Department of Emergency in a Tertiary Care Centre: A Descriptive Cross-sectional Study.
A medico-legal issue arises whenever an injured person visits a hospital. Therefore, all physicians who treat such patients have a legal duty to accurately document injuries as part of medical treatment. The study aimed to find out the prevalence of mechanical injury among medicolegal cases in the Department of Emergency in a tertiary care centre. ⋯ accidents; documentation; forensic medicine; injuries; Nepal.
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Facial paralysis is one of the common problems leading to facial deformation. COVID-19 virus rarely has been shown to be associated with facial palsy. Here we present a case of a 60-year-old woman who presented with features of left lower motor facial palsy signs along with common features suggestive of COVID-19 infection. Brain imaging did not reveal any pertinent pathology but her polymerase chain reaction for COVID-19 was positive. This case highlights the fact that acute COVID-19 infection can be considered a cause of motor neuron facial palsy in the ongoing pandemic of COVID-19. Cases with neurological features suggestive of facial palsy therefore should be suspected of acute COVID-19 infection based on other pertinent findings of COVID-19 infection and thus polymerase chain reaction testing should be done. ⋯ case reports; COVID-19; facial palsy.
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JNMA J Nepal Med Assoc · Nov 2022
Maintenance Hemodialysis among Patients Visiting Nephrology Unit in a Tertiary Care Centre: A Descriptive Cross-sectional Study.
Maintenance hemodialysis is the treatment of renal failure and chronic kidney disease. Though the government of Nepal is providing free hemodialysis there is no chronic kidney disease registry or data to look into the clinical profile of patients. The aim of this study is to find out the prevalence of maintenance hemodialysis among patients visiting the nephrology unit in a tertiary care centre. ⋯ end-stage renal disease; hemodialysis; Nepal.
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JNMA J Nepal Med Assoc · Nov 2022
Mean Fluoride Concentration in Drinking Water Sources of a Municipality: A Descriptive Cross-sectional Study.
Fluoride is essential for the growth and development of teeth and bone. Excess or less fluoride consumption can have harmful effects on our bodies. Fluoride level of 0.5-1.5 mg/l is said to be optimized according to the World Health Organization. The level of fluoride varies among the different geographical regions and water sources. It is essential to find out the fluoride content of various water sources used for drinking purposes. The aim of this study was to find the mean concentration of fluoride in drinking water sources of a municipality. ⋯ dental caries; drinking water; fluoride.