JNMA; journal of the Nepal Medical Association
-
JNMA J Nepal Med Assoc · Sep 2022
Sickle Cell Anaemia among Tharu Population Visiting the Outpatient Department of General Medicine in a Secondary Care Centre: A Descriptive Cross-sectional Study.
Sickle cell anaemia is a global health issue in which a mutation of the β-globin gene changes normal haemoglobin in sickle-shaped red blood cells. The objective of this study was to find out the prevalence of sickle cell anaemia among the Tharu population visiting the outpatient Department of General Medicine in a secondary care centre. ⋯ The prevalence of sickle cell anaemia was higher when compared to other studies conducted in similar settings. The government needs to emphasise more effort in diagnosing cases as well as increasing the testing centre.
-
JNMA J Nepal Med Assoc · Sep 2022
Role of Conservative Management in Stump Appendicitis: A Case Series.
Stump appendicitis is a rare, delayed complication of appendectomy. It is seen following both open and laparoscopic appendectomy and may occur weeks to years following the initial appendectomy. We report two cases of stump appendicitis seen at our hospital. ⋯ Although the usually recommended treatment for stump appendicitis is completion appendectomy, conservative management may be suitable for some patients. This report highlights the possibility of utilizing a conservative approach in the management of stump appendicitis compared to the recommended operative intervention. Awareness of the possibility of stump appendicitis is crucial for early diagnosis and treatment, to prevent potentially catastrophic complications.
-
JNMA J Nepal Med Assoc · Sep 2022
Left Accessory Mental Foramen in Dry Mandibles in Department of Anatomy in a Medical College: A Descriptive Cross-sectional Study.
The presence of accessory mental foramen is one of the anatomical variations in the mandible. The occurrence of accessory mental foramen can differ in terms of number, shape, and size or there can even be an absence of it. The aim of this study was to find out the prevalence of left accessory mental foramen in dry mandibles in the Department of Anatomy of a medical college. ⋯ The prevalence of left accessory mental foramen in mandibles was similar to the studies done in similar settings.
-
JNMA J Nepal Med Assoc · Sep 2022
Diet, Sleep and Exercise: The Keystones of Healthy Lifestyle for Medical Students.
The journey of five to six years of medical school is a mixture of different emotions ranging from happiness to stress, anxiety and even mental breakdowns. Diet, sleep and exercise are considered to be three integral components of a healthy life which are often neglected by us, as medical students mostly as a result of such emotional changes in their life. We need a good anount of nutrition to maintain the energy levels for our day-to-day chores, adequate sleep for proper functioning of body and mind and exercise to keep us energized throughout the day. A healthy lifestyle is something that every individual strive towards in their life and as medical students we must always consider about having a healthy lifestyle by balancing our diet, sleep, and exercise.
-
JNMA J Nepal Med Assoc · Aug 2022
Case ReportsEarly CT Ameliorates the Diagnostic Dilemma of "Little Old Lady's Hernia": A Case Report.
Encountering an obturator hernia itself is a rare entity for practicing surgeons globally. Synonymously known as the "old lady's hernia" is usually seen in fragile geriatric multiparous female patients. We share our experience of this rare entity where the patient presented with features of small bowel obstruction. Her diagnosis was delayed in the previously attended other centre as the possibility of an obturator hernia was overlooked. A timely clinical examination of the patient complemented by a computed tomography scan of the abdomen and pelvis helped us to obtain a diagnosis and proceed with immediate surgery. Intraoperatively the rarity was present bilaterally although the obstruction was on one side only. Prompt diagnosis and treatment benefits patients in this potentially lethal condition. ⋯ case report; computed tomography; obturator hernia; X-ray.