Publications by authors named "Gyawali J"

Article Synopsis
  • - Cytomegalovirus (CMV) is a common herpes virus that usually causes mild or no symptoms in healthy people but can lead to serious complications in those who are immunocompromised or newborns, causing disabilities.
  • - A four-month-old girl presented with decreased feeding and severe anemia; lab tests revealed low blood cell counts and a urine CMV PCR test showed extremely high viral load, indicating CMV-related bone marrow suppression.
  • - She was treated with the antiviral drug valganciclovir, resulting in improved blood parameters, highlighting the importance of recognizing CMV infections in cases of anemia or low blood cell counts in infants for better outcomes.
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Duodenum inversum is a rare congenital anomaly in which the proximal duodenum travels posteriorly and superiorly before crossing the midline, often presenting asymptomatically. Clinical features can include epigastric pain, nausea, and abdominal distension. This case report describes a 35-year-old female who presented with right hypochondrial pain.

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Introduction: Job satisfaction is an attitudinal variable representing the extent to which people like or dislike their jobs. It is a critical factor influencing healthcare quality, patient outcomes, and overall well-being in medical professionals. This study aimed to determine Job Satisfaction among medical doctors in Nepal.

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Article Synopsis
  • * A 60-year-old diabetic male had a long-term misdiagnosis of sebaceous cysts, but imaging and biopsy eventually revealed tubercular costochondritis after an exacerbation of symptoms.
  • * Successful treatment with antituberculous therapy for nine months led to complete recovery, emphasizing the importance of considering TB in chest wall swellings and the need for better diagnostic approaches and research in managing this rare condition.
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Hyponatremia is one of the most common electrolyte abnormalities encountered in medical practice and is caused by multiple conditions. SIADH is the most common cause of hyponatremia, however, careful workup must be performed on all patients as mere supplementation may cause recurrent hyponatremia and serious side effects. Adrenal insufficiency is a principal culprit that mimics the clinical picture of SIADH and tends to worsen when treated in the line of SIADH.

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Introduction: Cultural competency and safety are essential components to consider in the provision of person-centred equitable healthcare. Therefore, student radiographers' learning should include the necessary knowledge, skill sets and competence to recognise the patient's unique characteristics to enable culturally competent and safe medical imaging services. Therefore, this study explored undergraduate and postgraduate diagnostic radiography students' perspectives on cultural competency and safety.

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