JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Sep 2018
Awareness on Girl Child Abuse Among Mothers of A Selected Community.
Girl Child Abuse is physically, emotionally, sexually abusing and neglecting the girl child by depriving her of universally accepted child rights. We aim to determine the awareness on girl child abuse among mothers so that necessary awareness programs could be recommended if found unsatisfactory. ⋯ The mothers had average level of awareness regarding girl child abuse; however, significant proportion of mothers still lacks good level of awareness. A nationwide study of such kind using qualitative tools as well as conducting awareness raising activities focusing on girl child abuse and sexual abuse in girl child is recommended.
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JNMA J Nepal Med Assoc · Sep 2018
Randomized Controlled Trial Comparative StudyComparison of Fentanyl and Dexmedetomidine as Intrathecal Adjuvants to Spinal Anaesthesia for Abdominal Hysterectomy.
Spinal anaesthesia, although advantageous for conducting abdominal hysterectomy, is not the first choice amongst surgeons for fear of intra-operative visceral pain. Intrathecal adjuvants may improve quality of spinal anaesthesia. This study aims to compare efficacy of intrathecal Fentanyl and Dexmedetomidine to reduce visceral pain during abdominal hysterectomy performed under spinal anaesthesia. ⋯ Dexmedetomidine is better than Fentanyl as an intrathecal adjuvant to spinal anaesthesia in minimizing visceral pain during abdominal hysterectomy and in prolonging post-operative analgesia.
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JNMA J Nepal Med Assoc · Sep 2018
Comparative StudyMifepristone and Misoprostol vs Misoprostol Alone in Second Trimester Termination of Pregnancy.
During the last decade, medical methods for second trimester abortion have considerably improved and become safe and more accessible. The combination of mifepristone and misoprostol is now an established and highly effective method for second trimester abortion. But where mifepristone is not available or affordable, misoprostol alone has also been shown to be effective. The objective of this study is to compare the efficacy of mifepristone with misoprostol and misoprostol alone for second trimester termination of pregnancy. ⋯ Mifepristone and misoprostol combined together is now an established, highly effective and safe method for medical method of second trimester termination. However, when mifepristone is not available or affordable, misoprostol alone can also be used effectively, although a higher total dose is needed and side effects are higher than with the combined regimen.
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Cephalic index is an important parameter for differentiation of race and sex which varies significantly on the basis of hereditary, geographical, racial, sexual and other factors. It is a morphometric expression of different forms of head. The objective of this research was to evaluate the cephalic index of people of indigenous Tharu community of Biratnagar, Nepal and to determine different head types. ⋯ Long head (dolichocephalic) type is more common in Tharu population in both the genders, whereas, broad head (brachycephalic and hyperbrachycephalic) type is present in very few people.