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…

Transthoracic echocardiography in patients with chronic kidney disease Shrestha B, Gurung D, Dhungel S

Abstract: Background: Evaluation of cardiac diseases in chronic kidney disease has been rarely investigated in Nepal. Objectives: Objective of this study is to evaluate cardiac lesions in admitted chronic kidney disease patients.   Methodology: It is a prospective observational study of echocardiography of chronic kidney disease patients from April, 2007 to April, 2013 in Read more…

Use of C-reactive protein level in diagnosis of tubercular pleural effusion Pant S, Shrestha SK, Sharma L, Shrestha B

Abstract: Background: C-reactive protein in both pleural fluid and serum has been found to be higher in tubercular pleural effusion than in other causes of pleural effusion. Objectives: The main aim of this study was to find out the diagnostic value of C-reactive protein in patients with lymphocytic pleural effusion. Methodology: A cross-sectional study was Read more…