Convenient sampling technique had been used to pick the participant. The collected data had been entered in excel 16 and analysed in Statistical Package for Social Sciences. Point estimation at 95% Confidence Interval was done and frequency and percentage were calculated.The ultrasound is a simple method to be used, and an easy one to help and diagnose obstructive hydronephrosis. The primary medical malpractice factors that cause hydronephrosis tend to be kidney stones, accompanied by ureteral stones, with a moderate level of hydronephrosis.Primary neuroendocrine carcinomas of the breast tend to be uncommon of most breast carcinomas. They might be welldifferentiated, poorly differentiated, or invasive breast cancers with neuroendocrine differentiation. They’ve been staged and treated similarly to mainstream cancer of the breast. Herein, we report a case of invasive ductal carcinoma with neuroendocrine differentiation for the breast in a 73 years feminine with a brief history of breast swelling initially in the reduced inner quadrant of remaining breast and per month later, comparable lump in the same web site in correct breast. Patient underwent Modified Radical Mastectomy bilaterally followed by adjuvant chemotherapy based on Carboplatin and Etoposide regimen.Medical pupils in Nepal learn passively by gaining encyclopedic knowledge, with little concentrate on the application of the understanding to medical circumstances as well as other smooth abilities like interaction. This increases issue that whether health students will likely be competent adequate to serve their particular society in the future or not. The article highlights the domain names where medical students should focus apart from medical knowledge become competent enough to meet up with the wellness needs of society. The medical safety checklist by World wellness business has been utilized during the last 2 decades. There clearly was every possibility of undesirable expected disasters in Operating-Room in Pediatricsurgical instances. Our research is always to observe the usage of the safety checklist and evaluate event of never-events in Tertiary degree Pediatric Surgery Unit in Nepal. A descriptive cross-sectional research had been done at Nepal Medical College Teaching Hospital from January 2021-June 2021 with record-based data of kiddies from 0-15 years managed in Pediatric procedure product from March 2017-July 2018. Moral approval (research number 049-077-078) ended up being extracted from the organization review committee of this institute. Efficiency sampling had been done. Self-designed Pro-forma with demographic data along with World wellness Organization-Surgical-safety-checklist used had been gathered and entered in Microsoft-Excel. Information had been analyzed utilizing Statistical-Package-for-the-Social-Sciences-version-25.Point estimation at 95% Confidence Interval was done along with frequency and proportion for binary data. Away from 267 cases enrolled, 103 (38.6%) (35.6-41.6 at 95per cent Confidence Interval) were fully compliant with all the checklist, 69 (25.8%) partially compliant. Among certified instances, 148 (55.4%) Sign-in part, 128 (47.9%) instances -Time-out part and 152 (56.9%) instances Sign-out component had been complete. Compliance with World wellness Organization-Surgical-safety-checklist has actually an important part in avoiding morbidity and mortality in Pediatric medical instances. With correct use of the checklist, the undesirable never-events may be medical terminologies prevented with better surgical effects.Compliance with World wellness Organization-Surgical-safety-checklist has an important role in preventing morbidity and mortality in Pediatric medical situations. With appropriate use of the checklist, the undesirable never-events could be avoided with better surgical effects. Sepsis is considered the most typical reason behind death among clients admitted to intensive care device. There is certainly promising proof regarding the role of C-reactive necessary protein to albumin ratio (C-reactive protein/Albumin) in predicting outcomes in patients with important illness and sepsis, admitted to intensive care unit. We aimed to learn the median worth of Selleckchem PMA activator C-reactive protein/Albumin ratio among patients admitted to intensive attention device of a tertiary care hospital. We carried out a descriptive cross-sectional study of 110 critically sick patients (>18 yrs . old) admitted to intensive care device of Dhulikhel Hospital from April, 2014 to Summer, 2016. The ethical endorsement (research number.51/16) ended up being acquired from Institutional Evaluation Committee at Kathmandu University School of Medical Sciences. C-reactive protein/albumin ratio was calculated from records of patients admitted into the intensive care unit. Convenience sampling was done. Data had been registered into Microsoft Excel and analysed using Statistical Package for Social Sciencd be helpful for stratifying clients with increased danger of building sepsis. Target of injuries presenting to a hospital is a medico-legal concern. So, with health administration, correct paperwork of injuries ought to be done as a legal responsibility by all physicians attending such instances. The study aims to get the prevalence of injury amongst medicolegal cases within the Department of Forensic drug in a tertiary care center. A descriptive cross-sectional study ended up being done amongst 328 medicolegal instances presenting at a tertiary center, from January 2019 to February 2021. Ethical approval ended up being acquired from the Institutional Evaluation Committee (guide quantity 2603202101). Convenience sampling was utilized to choose study samples. After step-by-step history regarding the occurrence, injuries were examined and documented in a performa. The data had been entered in Statistical Package for Social Sciences variation 18. aim estimate at 95% Confidence Interval had been computed along with regularity and percentage for binary data.