we report a case of a 68-year-old female who was a known case of diabetes mellitus and chronic liver disease and presented with complaints of dry cough and other constitutional symptoms since one month. during initial investigations, the patient was found to have peripheral blood eosinophilia. upon investigating further,the patient was found to have mediastinal lymphadenopathy and fine-needle a...

a 24‑year‑old, unmarried woman diagnosed of pulmonary tuberculosis (ptb) visited our hospital out‑patient department in the month of august‑2013. patient came with the complaint of sever cough with expectoration; evening raise of temperature; gradual loss of appetite and weight since 2‑weeks. we referred the patient to our hospital’s revised national tuberculosis program, direct observed treatm...

treatment of refractory depression should be programmed consistent with a comprehensive assessment of diagnosis involving subgroups of depression, psychiatric disorders and concomitant medical disturbances. in this regard, admission and treatment should be compatible with the content of the case history precisely taken. in this conjunction some reasonable treatment could be suggested to the pat...

ABSTRACTGlobally, lives of seven billion people lie in the hands of 59 million health workers for care throughout their lifespan. This study purposed to establish the influence of cognitive learning objective domain on clinical competence development among clinical officer interns in Meru and Tharaka-Nithi Counties. The study used a descriptive longitudinal research design, which was nece...

ABSTRACTGlobally, lives of seven billion people lie in the hands of 59 million health workers for care throughout their lifespan. This study purposed to establish the influence of cognitive learning objective domain on clinical competence development among clinical officer interns in Meru and Tharaka-Nithi Counties. The study used a descriptive longitudinal research design, which was nece...