JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Mar 2022
Mean Brain Weight among Autopsy Cases at the Department of Forensic Medicine of a Tertiary Care Centre: A Descriptive Cross-sectional Study.
Weight of the brain is an important diagnostic criterion during autopsy. Normal variations in brain weight among various population demands for population-specific study. The aim of this study was to find the mean brain weight among autopsy cases at a tertiary care centre. ⋯ autopsy; brain; organ weight.
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JNMA J Nepal Med Assoc · Mar 2022
Internship Experience: A Transition from Academic World to Health Care Workplace.
Internship is the training period during MBBS in which medical students will be able to learn methods/modalities to administer actual practice of medical and health care based on the knowledge gainded in their medical school. The students will get short-term supervised professional learning experience in different departments of medical and surgical specialities and have opportunity to develop professional networks within their intended career field. ⋯ An internship can be a powerful medium for personal and professional growth as it allows the sense of responsibility towards the patients, their family and the organisation. It is indeed a great opportunity to have a hands-on learning experience prior to graduation of medical school.
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JNMA J Nepal Med Assoc · Mar 2022
Dyslipidemia in Acute Non-cardioembolic Ischemic Stroke Patients at a Tertiary Care Centre: A Descriptive Cross-sectional Study.
Acute ischemic stroke is the second most common cause of death after ischemic heart disease worldwide and Nepal's top five diseases based on Disability-Adjusted Life Years. Dyslipidemia is a major risk factor for coronary heart disease but has an unclear role in the pathogenesis of ischemic stroke. The objective of this study was to find the prevalence of dyslipidemia in acute non-cardioembolic ischemic stroke patients at a tertiary care centre. ⋯ cardioembolic stroke; dyslipidemia; ischemic stroke; lipid; lipoprotein.
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JNMA J Nepal Med Assoc · Mar 2022
Case ReportsAn Infant with Congenital Diaphragmatic Eventration with Dextrocardia: A Case Report.
Diaphragmatic eventration is a rare condition, and its association with dextrocardia is even a rarer clinical entity. Patients are usually asymptomatic, but the typical features include rapid breathing and recurrent respiratory infections. Here we present a rare case of a seven months old infant, who presented with cough, noisy breathing and chest retraction. ⋯ Afterwards, plication of the diaphragm was done through the trans-abdominal approach and the symptoms gradually improved postoperatively. For dextrocardia, since there were no structural abnormalities, the patient was kept in regular follow-up in the pediatric cardiology unit. Though most patients are asymptomatic, diaphragmatic eventration increases the risk of recurrent chest infection and hampers the quality of life of the patient, so timely diagnosis and intervention will greatly improve their quality of life.
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JNMA J Nepal Med Assoc · Mar 2022
Iliac Crest Bone Graft Harvesting: Modified Technique for Reduction of Complications.
Bone graft harvesting is one of the common procedures in orthopaedics surgery, and iliac crest is the gold standard donor site for autologous bone graft. There are a number of complications related with harvesting iliac crest bone graft, "donor site pain" is the commonest one. We modified the conventional surgical technique for autogenous iliac crest bone graft on patients who underwent anterior cervical decompression/corpectomy and fusion surgeries. ⋯ Mean Visual Analog Score was 2.62±1.80, 1.83±1.41, and 1.10±1.20 at the time of suture removal (14 days), at six weeks and three months respectively. At one year of follow-up, no patient complained of donor site pain. Our surgical modification has encouraging results and thus can be advocated for bone graft.