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 Scrub typhus: a growing health challenge in children Recently, an 11-year-old girl was admitted to Rapti Institute of Health Sciences in Dang due to high fever and physical weakness. Initially, he was treated for a simple fever, but after a few days, his condition worsened. On further examination, it was discovered that he had scrub typhus. In the absence of timely treatment, the disease seriously affected his liver, kidneys, and lungs, resulting in multi-organ failure. The girl was kept on a ventilator, although various life-saving measures were taken, but it became a challenge to improve her health. In the last few years, there has been a significant increase in the incidence of scrub typhus in Nepal. Scrub typhus is a type of bacterial disease that is spread by insects (chiggers) found in wooded areas infected with the bacterium Orientia tsutsugamushi. In children, this disease can cause serious health problems, as evidenced by a recent complex case of multi-organ failure in an 11-

 What kind of person is at risk of bone cancer? Sarcoma is a cancer caused by uncontrolled cell growth in muscles and bones. This cancer can occur in soft muscles, bones, fat, tissues, blood vessels, nerves and joints. This cancer cell develops rapidly in the soft cells that are mostly found in the bones. Initially, this cancer develops in 'connective tissue' (tissue connecting two organs). Then gradually other areas start spreading. This cancer then spreads to the lungs. This cancer is considered rare but very deadly. Because there are more than 70 types of this cancer. Out of which, two main types are soft tissue sarcoma and bone sarcoma. Sarcoma accounts for one percent of cancer in adult patients and 15 percent in children. There are different types of sarcoma including osteo sarcoma, angio sarcoma, chondro sarcoma, chondroma, fibro sarcoma, Ewing sarcoma, leiomyo sarcoma, lipo sarcoma, malignant, peripheral nerve. Of which osteosarcoma is the most common. How is sarcoma ca

 What is the treatment for knee pain? The knee joint is one of the largest and most complex joints in the human body. It plays a key role in activities such as supporting body weight, daily walking, running and jumping. But with age, due to wrong exercise methods, injuries or diseases, knee pain has become a problem for many people. Arthritis of the knee joint is a type of inflammatory disease in the joints and surrounding tissues of the human body, the disease process of which progresses slowly and usually appears after middle age. Its clinical symptoms include joint redness, swelling, warmth, pain, impaired mobility, and joint deformity. At the beginning of the disease, the problem appears in the cartilage of the joint and then it spreads to the bone below the cartilage, the nerve membrane and other tissues around the joint. The main feature is the erosion of the cartilage on the surface and edges of the joint and the formation of new bone. The origin process of this disease is compl

 Why and when to vaccinate a child? Vaccination is an effective achievement of medical science. Vaccination is done to protect the body from any possible disease that may occur in the future. Vaccination protects against possible future diseases. Vaccination is done by injecting the dead or weakened bacteria of the related disease into the human body. White blood cells are activated to produce disease-fighting antibodies. Especially the immune system of newborns is very weak. So they can suffer from even minor diseases. Therefore, they are vaccinated against some diseases that may occur. In particular, to keep children healthy, to protect them from disability, and to prevent them from getting serious diseases, they should complete the set amount of vaccinations. Age-wise vaccination schedule has also been prepared for newborns. In this case, first-time parents should know which vaccines are available for newborns in Nepal and when to administer them. Why wear it? After the child is bor