Acute appendicitis and acute mesenteric adenitis in children: Are they clinically distinguishable?

Manish Pokhrel+ Abstract Background: Acute appendicitis and acute mesenteric adenitis have very similar clinical presentations but radically different treatment approaches in children. Objectives: This study aims to test the possibility of clinically distinguishing between acute appendicitis and acute mesenteric adenitis. Methodology: A cross-sectional study was designed to recruit all children (<16 years) presenting Read more…

Role of cervical length assessment at mid-trimester scan for predicting preterm births: An experience from Tertiary Hospital

Abstract Background: Ultrasound has revolutionized the pattern of care and management. Mid trimester ultrasound (transabdominal) is a valuable method for pregnant clients to predict preterm births. Objectives: To assess cervical length at 20 to 24 weeks obstetric scan for predicting risk of preterm delivery and to determine the sensitivity and specificity of Read more…

Cat fit and bull fight: Assessment of aggression in medical students as a prelude to conduct violence in future

Jenash Acharya+ Geshu Lama+ Jemish Acharya+ Naresh Manandhar+ Abhishek Pant+ Abstract Background: The intensity of aggression present in any person determines his/her threat to conduct violent and impulsive act against members of the society or else family, friends or foes, which necessitates a crucial analytical instrument for identification of such behaviour Read more…

Use of levetiracetam in pediatric refractory status epilepticus Shakya KN, Bhatta A, Phuyal S, Yadav A

Abstract: Refractory status epilepticus, with persistence of seizures despite initial intravenous benzodiazepine and one secondline intravenous antiepileptic drug occurs in nine percent to 44% of the patients with status epilepticus. Aggressive treatment is needed to control such seizures with drug refractoriness. A case of a 2-year-old boy treated with intravenous levetiracetam Read more…