The mediastinum, located between the pleural sacs, has three compartments. The anteriormediastinum spans anteriorly from the sternum to the pericardium and brachiocephalic vesselsposteriorly. Common lesions in this area include thymomas, lymphomas, teratomatous neoplasms,and thyroid masses. A mediastinal mass in the setting of tuberculous meningoencephalitis is anuncommon presentation of tuberculosis. We present a case of a 20-year-old girl with fever andheadache diagnosed with tuberculous meningoencephalitis. A thorough workup revealed an anteriormediastinal mass, histopathologically diagnosed as tubercular in origin. Treatment involved surgeryand antituberculosis therapy. Tuberculosis can manifest uniquely, and an isolated mediastinalmass, especially in an immunocompetent individual, is unusual. Treatment typically involves acombination of antimicrobial medications, and in some cases, surgical intervention may be necessaryto address complications or persistent masses. This case emphasizes the importance of consideringtuberculosis as a diagnosis when a patient presents with a mass in the anterior mediastinum.

Sleep and stress significantly affect emotions, productivity, and overall well-being, crucial for optimal health and performance. However, limited research examines how Nepalese nurses' quality of life relates to their sleep quality and stress levels. This study aims to assess this relationship among nurses in private hospitals in Kathmandu. Three private hospitals were selected for this cross-sectional analytical study. Eligible nurses were chosen through purposive sampling, and data were analysed using IBM SPSS v25, employing Chi-square tests and logistic regression analysis. Research revealed a high rate of poor sleep quality (83.9%) among individuals with a mean age of 24.33 ± 3.08 years. Initially, significant associations were found with the factors like bachelor's degree, no tobacco use, absence of insomnia, good sleep quality, and low stress with good quality of life. After adjustment, the association with bachelor's degree [AOR:2.025, CI at 95%: 1.021-4.016, p