Conclusions Displaced supracondylar fractures have fairly higher prevalence of neurological accidents. Most frequently involved nerve is median nerve followed closely by radial nerve. So, every displaced break must certanly be consistently screened for nerve accidents.Away from 152 children, 18(11.8%) had nerve accidents. The mean age had been 7.41±2.91 many years. Young men were more injured (68.4%) than women (31.6%). It was more common on non-dominant side (57.9%). Out of 18 neurological injuries, most often hurt neurological had been median nerve 10(55.5%) followed closely by radial neurological 7(38.9%). Median neurological injury was typical in posterolateral displacement and radial neurological damage ended up being common in posteromedial displacement type of fracture. Conclusions Displaced supracondylar cracks have reasonably higher prevalence of neurological accidents. Most commonly involved neurological is median nerve followed by radial nerve. So, every displaced break should really be routinely screened for nerve injuries. Various bowel planning regimens can be obtained. Presently we are providing the complete planning at the time of colonoscopy. Numerous research reports have shown splitting the regime might improve the high quality of bowel planning with lower complications and better compliance. The analysis was done evaluate the efficacy and tolerability of split bowel preparation routine with non-split dosing regimen. The study found that split-dose and single dosage polyethylene glycol option for bowel planning before colonoscopy had comparable effectiveness when you look at the quality of bowel planning. Split-dose polyethylene glycol seems to be more advanced than single-dose PEG for patient compliance and negative effects.The study found that split-dose and single dose polyethylene glycol answer for bowel planning before colonoscopy had similar efficacy when you look at the quality of bowel preparation. Split-dose polyethylene glycol appears to be more advanced than single-dose PEG for patient compliance and side-effects. Permanent pacemaker are implanted as a life shaving measures when it comes to patients with coronary disease. Problems of permanent pacemaker are preventable in the event that clients have adequate understanding regarding its consumption, problems, and precautionary measures. The goal of this study was to know the knowledge and practice regarding self-care administration among customers with permanent pacemaker. A descriptive, cross-sectional study was adopted among patients with permanent pacemaker at Outpatient division of Manmohan Cardiothoracic Vascular and Transplant Center, Maharajgunj, Kathmandu. A complete of 98 clients had been selected through the use of non-probability consecutive sampling strategy. Data had been gathered making use of structured interview schedule. COVID-19 pandemic hit all age group with different presentations and outcome. This study aimed at exploring the clinical qualities, investigational conclusions, medical center result along side ninety days follow through of COVID-19 disease in children. This was longitudinal descriptive study among hospital admitted children with COVID-19 RT-PCR positive during first trend of Pandemic with 90 days telephonic follow through. Demographic and clinical traits, comorbidities, SPO2, investigations, need of air , PICU admission, need of ventilator, result (improved and released, death Hepatic growth factor ) and period of hospital stay had been recorded and 3 months telephonic follow up ended up being performed for any illness and medical center admission. Away from 65 children admitted, male 44 (67.7%) and female 21 (32.3%), median age had been 23 months ( IQR 6 days -14 years) with 52( 80.0%) without having any comorbid circumstances. The common signs were Fever 40(61.5%) nausea 15 (23.1%) and Cough 11(16.9%).Thirteen (20.0%) children has platelets count lower than 150000 and 16(24.6%) had C – reactive protein Positive .Mean length of time of hospital remain 8 days (number 1 -44 days), 20( 30.8% ) required air , 20(30.8%) needed Pediatric intensive attention product (PICU)admission and 6 (9.2%), required ventilator. Forty seven (72.3%) recovered and discharged with death of 6.2% (n=4). 50 six kiddies (75.4%) have not experienced medical isotope production any difficulty after COVID -19 and only 2 young ones required hospital entry in 90 days telephone follow through. In the 1st revolution associated with pandemic, Respiratory and intestinal signs had been typical presentation with few serious and crucial situations. Majority had great result. Majority has no other relevant infection till 3 months after discharge.In the 1st wave of the pandemic, Respiratory and Gastrointestinal signs were typical presentation with few Severe and crucial cases. Majority had good outcome. Majority has no other relevant infection till 3 months after release. Road traffic accidents would be the leading reason for fatalities global among young ones and youngsters elderly between 5 to 29 many years. The possibility of road traffic accident-related demise is greater in low-income nations. Hence, we seek to assess the epidemiology of roadway traffic accidents in Nepal during the financial years from 2009/10 to 2019/20. Analysing available information about reported road traffic accidents events showed a growing trend in roadway traffic accidents from the see more fiscal years 2011/12 till 2019/20, with a steeper escalation in how many roadway traffic accidents in fiscal many years 2017/18 and 2019/20. In fiscal years 2009/10, 11,747 vehicles collided; which rose to 25,788 into the financial many years 2019/20. Even more instances of road traffic accidents were reported to happen from 12 noon-6 pm in one day.
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