JNMA; journal of the Nepal Medical Association
-
JNMA J Nepal Med Assoc · Jul 2019
Case ReportsDelayed Presentation of Renal Arterio-Venous Fistula and Pseudoaneurysm in Native Left Kidney in Allograft Recipient: A Case Report.
Iatrogenic complications due to renal biopsy majorly include formation of an arterio-venous fistula, pseudoaneurysm or arterio-ureteral fistula. These complications are observed within a span of few days post biopsy and are rare after few years. ⋯ Superselective embolization was achieved using coils and high concentration glue and transient placement of a venous occlusion balloon with complete technical and clinical success. Keywords: renal arterio-venous fistula; renal biopsy; renal pseudoaneurysm.
-
JNMA J Nepal Med Assoc · Jul 2019
Multicenter StudyVerbal Abuse among Nurses in Tertiary Care Hospitals.
Verbal abuse against nurses who are major working force can affect the work performance and productivity in hospital. Verbal abuse is epidemic in tertiary care hospitals though it is most preventable with healthcare professions. The study aims to identify the prevalence of verbal abuse among nurses in a Tertiary Care Hospital. ⋯ Verbal abuse is frequently prevalent in nurses and mostly from patient's visitors. Hence, nurses should maintain their respect and authority otherwise it will lead to decrease in their performance that shows direct impact on patient care and consequently the effectiveness of the health care system.
-
JNMA J Nepal Med Assoc · Jul 2019
Case ReportsLangerhan's cell Histiocytosis of Sphenoid Sinus causing Vision Loss: A Case Report.
Langerhan's cell histiocytosis is an uncontrolled proliferation of dendritic cells. The involvement of skull base is rare. Variable clinical presentation and multi organ involvement often warrant a multidisciplinary approach for a successful diagnosis. ⋯ Delayed diagnosis and treatment can result in serious complications. The radiological features and management options are discussed with a review of the pertinent literature. Keywords: : blindness; histiocytosis; langerhans-cell; sphenoid sinus.
-
JNMA J Nepal Med Assoc · Jul 2019
Prevalence of Vitamin D Deficiency among Adult Patients in A Tertiary Care Hospital.
The deficiency of vitamin D is major public health problem worldwide. It is deficiency of vitamin D level when blood serum which is below 30ng/ml. The deficiency is associated with various musculoskeletal diseases and autoimmune diseases. The early detection of deficiency plays important role to prevent those diseases. The aim of the study is to find the prevalence of vitamin D deficiency among adult population in a tertiary care hospital. ⋯ The prevalence of vitamin D deficiency was high compared to previous studies. Vitamin D deficiency was found to be higher in females than males.
-
JNMA J Nepal Med Assoc · Jul 2019
Prevalence of Malnutrition in Patients with Liver Cirrhosis in A Tertiary Care Hospital.
Cirrhosis of liver is a progressively deteriorating disease. Medical management consist of treatment and prevention of complications. Nutritional intervention to improve nutritional status of the malnourished patient has favorable impact on prognosis. Traditional measures of nutritional assessment like Body Mass Index and waist circumference are inaccurate. This study was conducted to study the prevalence of malnutrition in cirrhotic patients. ⋯ Malnutrition is very common among cirrhotic patients and its prevalence increased from Child A to Child C status.