1,898 results match your criteria: "Koirala Institute of Health Sciences[Affiliation]"

Subarachnoid hemorrhage mimicking an acute migraine attack: A case report.

SAGE Open Med Case Rep

June 2024

Tribhuvan University, Institute of Medicine, Maharajgunj Medical Campus, Maharajgunj, Kathmandu, Nepal.

Article Synopsis
  • - Subarachnoid hemorrhage is a serious neurological emergency where blood leaks into the space surrounding the brain, most often due to a ruptured cerebral aneurysm, with high mortality rates between 8% to 67%.
  • - It can be misdiagnosed as it may present similarly to chronic migraine, but distinct symptoms like sudden severe headache, neck stiffness, and nausea can help differentiate between the two.
  • - A case study highlighted a 37-year-old woman with a history of migraines who experienced a sudden, intense headache, and imaging revealed a ruptured aneurysm, underscoring the need for careful evaluation in patients with similar symptoms.
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Ectopic teeth, growing in abnormal locations like the maxillary sinus, are rare occurrences, with uncertain causes including trauma, infection, and developmental abnormalities. They often appear in the second or third decade of life, sometimes without symptoms. They are often missed as symptoms can mimic chronic sinusitis but may include sinonasal issues like obstruction and facial pain.

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Article Synopsis
  • Hyperuricemic patients, with uric acid levels of 7.8 mg/dL or higher, risk developing polyarticular tophaceous gout if they don’t receive treatment.
  • Untreated patients may experience painful arthritis attacks and the formation of tophi (crystal deposits) in joints.
  • Lowering blood urate levels using medications called xanthine oxidase inhibitors can prevent these acute flares and the progression of gout.
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Combating Zika, Dengue, and Chikungunya Outbreaks in Timor-Leste: A Call to Focus on Integrated Vector Management and Vaccination.

Asia Pac J Public Health

September 2024

Center for Global Health Research, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India.

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Objective: This study was conducted to comprehensively understand the context, barriers, and opportunities for improving dementia care, treatment, and support. The objective is to guide the development of a national dementia care plan.

Methodology: This document review was conducted by analyzing literature available in the public domain, including scientific publications, project documents/reports, media reports, and hospital records.

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Article Synopsis
  • Nigeria's neurosurgery field struggles with a dire lack of neurosurgeons, high migration rates of medical professionals, and limited access to care due to urban-centric centers and financial barriers.
  • Key issues include inadequate manpower, poor emergency services, lack of imaging and surgical equipment, and ineffective policies, resulting in poor management of neurotrauma cases and limited subspecialization opportunities in training.
  • To improve the situation, it's essential to enhance infrastructure, expand training capacity especially in rural areas, implement unified residency matching, address gender disparities, and promote international collaboration for research and funding.*
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Article Synopsis
  • * A 30-year-old man experienced severe pain and swelling in the right inguinoscrotal area for two years, leading to the discovery of a complete inguinoscrotal hernia and hydrocele through imaging.
  • * The case highlights the challenges of diagnosing Amyand's hernia and the importance of timely surgical treatment, which in this instance involved removing the appendix and repairing the hernia, stressing the need for better awareness among healthcare providers.
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Introduction And Importance: The SARS-CoV-2 is the source of COVID-19, a respiratory disease. It typically manifests as restricted pulmonary symptoms, but autoimmune dysfunction might occasionally show up. A COVID-19 infection may cause a multi-system connective tissue disease known as systemic sclerosis (SSc).

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Beyond neurology: unravelling Nipah virus's cardiovascular conundrum-an editorial.

Ann Med Surg (Lond)

June 2024

Center for Global Health Research, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India.

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Overview And Significance: Pulmonary sequestration (PS) is a rare congenital anomaly characterized by aberrant formation of nonfunctional lung tissue with anomalous systemic blood supply. Despite its rarity, PS presents significant diagnostic and management challenges, often necessitating a multidisciplinary approach for optimal patient outcomes. This case report provides insights into the clinical presentation, diagnostic modalities, and management strategies for PS.

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Background: Sturge-Weber syndrome (SWS) is a rare neurocutaneous disorder characterized by a facial port-wine birthmark, leptomeningeal angiomatosis, and glaucoma. This case report highlights the challenges of diagnosing SWS when presenting with atypical features. Here, the authors present a 55-year-old man with an extrafacial port-wine stain and delayed-onset seizures, deviating from the classic triad.

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Introduction: Burkitt lymphoma (BL) is an aggressive non-Hodgkin lymphoma characterized by chromosome 8 MYC gene translocation. It manifests in three clinical types: immunodeficiency-related, sporadic (nonendemic), and endemic (African), each differing in epidemiology and clinical behavior. Treatment typically involves enrollment in clinical trials or intensive chemotherapy regimens like R-CODOX-M/IVAC.

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Importance: Rheumatic heart disease (RHD) remains a public health issue in low- and middle-income countries (LMICs). However, there are few large studies enrolling individuals from multiple endemic countries.

Objective: To assess the risk and predictors of major patient-important clinical outcomes in patients with clinical RHD.

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Article Synopsis
  • The study aimed to understand how older patients in Northern India perceive their own aging and what factors influence this perception.
  • It involved a cross-sectional analysis of 184 patients, focusing on various health and physical attributes, using multinomial logistic regression to determine relationships with subjective aging.
  • The findings revealed that higher chronological age and improved hand grip strength were linked to feeling younger compared to peers; specifically, older age was associated with a decrease in feeling older while increased grip strength heightened the sense of feeling younger.
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Article Synopsis
  • * Risk factors for Noma include malnutrition, poor dental hygiene, low socioeconomic status, and certain health conditions, with mortality rates around 8.5% in Niger.
  • * Management includes antibiotics, surgical treatment, and wound care, while prevention focuses on improving oral hygiene, education, and community interventions. The WHO's recognition of Noma underscores the need for early intervention and prevention strategies to improve health outcomes globally.
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Comparative evaluation of arch form among the Nepalese population: A morphological study.

J Oral Maxillofac Pathol

April 2024

Department of Oral Pathology and Forensic Dentistry, Maharajgunj Medical Campus, Institute of Medicine, Nepal, India.

Aims: The study aims to identify sexual dimorphic features in the arch patterns based on tooth arrangement patterns and the maxillary and mandibular arches using Euclidean Distance Matrix Analysis (EDMA).

Settings And Design: A total of 96 Nepalese subjects, aged 18 to 25 were assessed using casts and photographs.

Materials And Methods: Thirteen landmarks representing the most facial portions of the proximal contact areas on the maxillary and mandibular casts were digitised.

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Background: The Government of Nepal initiated a family-based National Health Insurance Program (NHIP) in April 2016, aiming to ensure universal health coverage (UHC) by enhancing access to and utilization of quality health services. However, NHIP, in its initial years of implementation, encountered challenges such as low population coverage, a high dropout rate, and concerns among the insured regarding the quality of healthcare services. There is a dearth of information regarding user satisfaction with the NHIP in Nepal.

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